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General NPI Number Information
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NPI Number | 1609680115
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Entity Type | Individual
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Provider Name | NOOR AHMED ALWANI PHD, LCP
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Gender | Female
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Dates
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Enumeration Date | 02/04/2025
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 11250 ROGER BACON DR BLDG 10
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City | RESTON
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State | VA
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Zip | 20190-5219
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Country | US
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Telephone | 571-378-5891
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Fax |
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Provider Business Mailing Address
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Address Line | 42020 VILLAGE CENTER PLZ STE 120 #642
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City | ALDIE
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State | VA
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Zip | 20105-3030
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Country | US
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Telephone |
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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 | 0810008729
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License Number State | VA
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