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General NPI Number Information
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NPI Number | 1598735326
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Entity Type | Individual
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Provider Name | DAVID A KOHLS PSYD
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Gender | Male
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Dates
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Enumeration Date | 01/24/2006
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Last Update Date | 06/22/2014
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Provider Practice Location Address
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Address Line | 4141 N HENDERSON RD PLAZA LEVEL SUITE 3
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City | ARLINGTON
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State | VA
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Zip | 22203-2486
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Country | US
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Telephone | 571-338-4488
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4473
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City | FALLS CHURCH
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State | VA
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Zip | 22044-0473
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Country | US
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Telephone | 571-338-4488
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0810003893
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License Number State | VA
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