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General NPI Number Information
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NPI Number | 1457026080
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Entity Type | Organization
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Legal Business Name | NANCY DODDS
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Dates
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Enumeration Date | 08/16/2021
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Last Update Date | 08/16/2021
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Provider Practice Location Address
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Address Line | 8296 OLD COURTHOUSE RD
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City | VIENNA
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State | VA
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Zip | 22182-3852
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Country | US
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Telephone | 703-688-2198
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Fax | 703-688-2198
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Provider Business Mailing Address
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Address Line | 1585 BRASS LANTERN WAY
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City | RESTON
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State | VA
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Zip | 20194-1224
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Country | US
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Telephone | 703-688-2198
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Fax | 703-688-2198
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Authorized Official
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Title or Position | LMFT
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Name | NANCY DODDS
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Credential | MA
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Telephone | 703-688-2198
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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