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General NPI Number Information
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NPI Number | 1477894418
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Entity Type | Organization
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Legal Business Name | ANTHONY R. DI FRANCESCO, PHD, PC
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Dates
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Enumeration Date | 03/14/2013
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Last Update Date | 04/23/2013
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Provider Practice Location Address
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Address Line | 214 B COMMERCE ST
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City | OCCOQUAN
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State | VA
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Zip | 22125
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Country | US
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Telephone | 703-491-9701
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Fax | 571-572-3838
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Provider Business Mailing Address
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Address Line | PO BOX F
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City | OCCOQUAN
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State | VA
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Zip | 22125-0136
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Country | US
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Telephone | 703-491-9701
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Fax | 571-572-3838
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Authorized Official
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Title or Position | DIRECTOR
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Name | ANTHONY R. DI FRANCESCO
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Credential | PH.D.
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Telephone | 703-491-9701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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