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General NPI Number Information
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NPI Number | 1649306978
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Entity Type | Organization
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Legal Business Name | MERLE LITOWITZ, PH.D., PLC
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 380 MAPLE AVE W SUITE 200
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City | VIENNA
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State | VA
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Zip | 22180-5620
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Country | US
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Telephone | 703-255-3400
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Fax | 703-255-3400
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Provider Business Mailing Address
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Address Line | 380 MAPLE AVE W SUITE 200
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City | VIENNA
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State | VA
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Zip | 22180-5620
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Country | US
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Telephone | 703-255-3400
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Fax | 703-255-3400
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | MERLE R LITOWITZ
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Credential | PH.D.
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Telephone | 703-255-3400
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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 | 0810001645
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License Number State | VA
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