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General NPI Number Information
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NPI Number | 1497995104
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Entity Type | Individual
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Provider Name | JAIME LEE HOPKINS PH.D.
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Gender | Female
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Dates
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Enumeration Date | 02/20/2009
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Last Update Date | 08/15/2019
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Provider Practice Location Address
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Address Line | 1990 K ST NW
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City | WASHINGTON
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State | DC
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Zip | 20006-1103
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Country | US
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Telephone | 443-683-6149
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Fax |
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Provider Business Mailing Address
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Address Line | 6711 LAKE VILLAGE DR
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City | ALEXANDRIA
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State | VA
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Zip | 22315-2601
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Country | US
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Telephone | 443-683-6149
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1001433
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY7804
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License Number State | FL
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