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General NPI Number Information
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NPI Number | 1538453683
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Entity Type | Organization
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Legal Business Name | ALEXANDRA KAGHAN, LCSW, LLC
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Dates
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Enumeration Date | 06/07/2011
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Last Update Date | 06/07/2011
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Provider Practice Location Address
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Address Line | 243 CHURCH ST NW SUITE 300A
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City | VIENNA
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State | VA
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Zip | 22180-4434
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Country | US
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Telephone | 703-319-1436
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Fax | 703-938-8393
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Provider Business Mailing Address
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Address Line | 243 CHURCH ST NW SUITE 300A
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City | VIENNA
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State | VA
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Zip | 22180-4434
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Country | US
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Telephone | 703-319-1436
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Fax | 703-938-8393
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Authorized Official
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Title or Position | MANAGER
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Name | MS. ALEXANDRA S. KAGHAN
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Credential | LCSW
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Telephone | 703-319-1436
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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