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General NPI Number Information
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NPI Number | 1538340526
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Entity Type | Individual
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Provider Name | LEILA JARRAHI PH.D.
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Gender | Female
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Dates
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Enumeration Date | 11/18/2007
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Last Update Date | 03/19/2009
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Provider Practice Location Address
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Address Line | 5530 WISCONSIN AVE STE 802
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City | CHEVY CHASE
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State | MD
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Zip | 20815-4404
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Country | US
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Telephone | 301-654-1203
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Fax |
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Provider Business Mailing Address
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Address Line | 4101 ALBEMARLE ST NW #605
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City | WASHINGTON
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State | DC
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Zip | 20016-2102
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Country | US
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Telephone | 703-994-3744
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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 | 04477
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License Number State | MD
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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 | PSY1000540
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License Number State | DC
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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 | 0810003611
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License Number State | VA
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