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General NPI Number Information
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NPI Number | 1649608233
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Entity Type | Individual
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Provider Name | KEELAH VOLL PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 10/17/2013
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 24413 MOON GLADE CT
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City | ALDIE
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State | VA
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Zip | 20105-3146
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Country | US
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Telephone | 571-626-8422
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Fax |
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Provider Business Mailing Address
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Address Line | 8401 MAYLAND DR STE A
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City | RICHMOND
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State | VA
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Zip | 23294-4648
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Country | US
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Telephone | 571-626-8422
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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 | 0810005502
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License Number State | VA
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