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General NPI Number Information
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NPI Number | 1417511411
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Entity Type | Individual
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Provider Name | ABBY LEPAGE PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 04/24/2019
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Last Update Date | 04/17/2020
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Provider Practice Location Address
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Address Line | 2000 P ST NW STE 603
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City | WASHINGTON
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State | DC
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Zip | 20036-6970
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Country | US
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Telephone | 202-681-9716
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Fax |
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Provider Business Mailing Address
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Address Line | 1255 22ND ST NW
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City | WASHINGTON
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State | DC
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Zip | 20037-1217
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Country | US
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Telephone | 202-681-9716
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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 | 0810006176
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY1001595
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License Number State | DC
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