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General NPI Number Information
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NPI Number | 1568874394
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Entity Type | Organization
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Legal Business Name | FINE PSYCHOLOGY, LLC
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Dates
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Enumeration Date | 05/28/2014
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Last Update Date | 05/28/2014
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Provider Practice Location Address
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Address Line | 6200 MONTROSE RD
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City | ROCKVILLE
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State | MD
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Zip | 20852-4119
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Country | US
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Telephone | 301-960-8834
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Fax |
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Provider Business Mailing Address
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Address Line | 607 STONINGTON RD
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City | SILVER SPRING
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State | MD
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Zip | 20902-1547
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Country | US
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Telephone | 301-960-8834
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | ALANA FINE
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Credential |
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Telephone | 301-960-8834
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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 | 05161
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License Number State | MN
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