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General NPI Number Information
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NPI Number | 1407009749
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Entity Type | Organization
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Legal Business Name | GYAN INCORPORATED
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Dates
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Enumeration Date | 10/30/2008
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Last Update Date | 10/30/2008
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Provider Practice Location Address
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Address Line | 7350 HERITAGE VILLAGE PLZ 101
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City | GAINESVILLE
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State | VA
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Zip | 20155-3084
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Country | US
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Telephone | 703-398-1085
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Fax |
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Provider Business Mailing Address
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Address Line | 6600 PARVILLE LOOP
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City | GAINESVILLE
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State | VA
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Zip | 20155-4436
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Country | US
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Telephone | 703-398-1086
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. SARIKA GARGA
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Credential | PH.D.
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Telephone | 703-398-1086
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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 | 0810003835
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License Number State | VA
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