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General NPI Number Information
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NPI Number | 1659422723
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Entity Type | Organization
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Legal Business Name | CAROL P. HAUSMAN, PH.D. PC
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4707 CONNECTICUT AVE NW APT 104
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City | WASHINGTON
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State | DC
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Zip | 20008-5619
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Country | US
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Telephone | 202-966-7851
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Fax | 202-966-5422
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Provider Business Mailing Address
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Address Line | 4707 CONNECTICUT AVE NW APT 104
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City | WASHINGTON
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State | DC
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Zip | 20008-5619
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Country | US
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Telephone | 202-966-7851
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Fax | 202-966-5422
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CAROL P HAUSMAN
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Credential | PHD
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Telephone | 202-966-7851
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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 | 928
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License Number State | DC
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