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General NPI Number Information
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NPI Number | 1528081106
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Entity Type | Individual
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Provider Name | ALLA LERNER-BRANDON M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 06/07/2023
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Provider Practice Location Address
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Address Line | 4870 SADLER RD SUITE 300 PMB#2365
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City | GLEN ALLEN
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State | VA
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Zip | 23060
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Country | US
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Telephone | 804-299-3989
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Fax |
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Provider Business Mailing Address
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Address Line | 4870 SADLER ROAD SUITE 300 PMB#2365
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City | GLEN ALLEN
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State | VA
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Zip | 23060
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Country | US
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Telephone | 804-299-3989
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Fax | 804-299-3982
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101238640
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License Number State | VA
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