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General NPI Number Information
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NPI Number | 1346952272
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Entity Type | Organization
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Legal Business Name | COMPREHENSELFCOUNSELING
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Dates
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Enumeration Date | 12/22/2022
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Last Update Date | 12/22/2022
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Provider Practice Location Address
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Address Line | 3919 OLD LEE HWY STE 83C
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City | FAIRFAX
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State | VA
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Zip | 22030-2430
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Country | US
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Telephone | 703-828-3887
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Fax |
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Provider Business Mailing Address
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Address Line | 3919 OLD LEE HWY STE 83C
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City | FAIRFAX
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State | VA
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Zip | 22030-2430
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Country | US
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Telephone | 703-828-3887
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LYMARAINA D'SOUZA
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Credential |
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Telephone | 571-643-5302
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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