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General NPI Number Information
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NPI Number | 1497719272
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Entity Type | Organization
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Legal Business Name | T MED BEHAVIORAL INC
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Dates
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Enumeration Date | 04/17/2006
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Last Update Date | 03/03/2008
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Provider Practice Location Address
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Address Line | 5610A SANDY LEWIS DR
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City | FAIRFAX
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State | VA
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Zip | 22032-4034
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Country | US
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Telephone | 703-425-8269
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Fax | 703-425-6020
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Provider Business Mailing Address
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Address Line | 5610A SANDY LEWIS DR
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City | FAIRFAX
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State | VA
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Zip | 22032-4034
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Country | US
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Telephone | 703-425-8269
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Fax | 703-425-6020
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ZEE L. FRIEDMAN
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Credential |
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Telephone | 703-425-8269
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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