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General NPI Number Information
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NPI Number | 1386265098
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Entity Type | Individual
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Provider Name | JOHN LOUGHLIN-PRESNAL PH.D.
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Gender | Male
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Dates
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Enumeration Date | 05/04/2020
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Last Update Date | 05/04/2020
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Provider Practice Location Address
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Address Line | 37TH AND O STREETS NW ONE DARNALL HALL
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City | WASHINGTON
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State | DC
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Zip | 20057-0001
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Country | US
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Telephone | 814-247-0983
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Fax |
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Provider Business Mailing Address
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Address Line | 4465 MACARTHUR BLVD NW APT 205
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City | WASHINGTON
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State | DC
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Zip | 20007-2526
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Country | US
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Telephone | 206-330-7724
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSYA00304
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License Number State | DC
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