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General NPI Number Information
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NPI Number | 1457889230
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Entity Type | Organization
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Legal Business Name | NUANCE NEUROPSYCHOLOGY LLC
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Dates
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Enumeration Date | 05/24/2017
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Last Update Date | 09/28/2020
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Provider Practice Location Address
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Address Line | 7115 LEESBURG PIKE STE 214
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City | FALLS CHURCH
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State | VA
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Zip | 22043-2301
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Country | US
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Telephone | 509-280-5974
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Fax | 703-533-0211
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Provider Business Mailing Address
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Address Line | 7115 LEESBURG PIKE STE 214
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City | FALLS CHURCH
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State | VA
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Zip | 22043-2301
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Country | US
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Telephone | 703-946-9048
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Fax | 866-518-7457
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Authorized Official
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Title or Position | FOUNDER
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Name | DR. EMILY CASTER
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Credential | PSYD
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Telephone | 509-280-5974
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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