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General NPI Number Information
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NPI Number | 1548533458
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Entity Type | Individual
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Provider Name | JOY D NAGORNIAK PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 02/23/2012
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Last Update Date | 05/12/2014
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Provider Practice Location Address
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Address Line | 3 WASHINGTON CIR NW SUITE 406
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City | WASHINGTON
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State | DC
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Zip | 20037-2356
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Country | US
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Telephone | 571-308-3695
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Fax | 888-355-0210
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Provider Business Mailing Address
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Address Line | 3 WASHINGTON CIR NW SUITE 406
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City | WASHINGTON
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State | DC
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Zip | 20037-2356
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Country | US
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Telephone | 571-308-3695
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Fax | 888-355-0210
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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 | PSY1000318
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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 | 4245
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License Number State | MD
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