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General NPI Number Information
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NPI Number | 1659131647
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Entity Type | Individual
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Provider Name | JOU HOU LAU PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 03/19/2024
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Last Update Date | 07/14/2024
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Provider Practice Location Address
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Address Line | 6010 EXECUTIVE BLVD STE 700
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City | ROCKVILLE
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State | MD
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Zip | 20852-3885
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Country | US
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Telephone | 301-392-7120
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Fax |
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Provider Business Mailing Address
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Address Line | 2800 EISENHOWER AVE STE 220D-8
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City | ALEXANDRIA
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State | VA
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Zip | 22314-5204
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Country | US
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Telephone | 301-392-7120
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024189763
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License Number State | VA
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