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General NPI Number Information
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NPI Number | 1487401204
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Entity Type | Individual
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Provider Name | LORINE MARGESON PSYD
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Gender | Female
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Dates
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Enumeration Date | 04/30/2024
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 8381 OLD COURTHOUSE RD STE 330
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City | VIENNA
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State | VA
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Zip | 22182-3818
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Country | US
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Telephone | 703-938-9090
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Fax |
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Provider Business Mailing Address
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Address Line | 11973 RAYBORN CREEK DR
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City | MANASSAS
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State | VA
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Zip | 20109-4824
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Country | US
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Telephone | 571-358-9528
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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 | 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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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | A0976
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0810008841
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License Number State | VA
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