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General NPI Number Information
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NPI Number | 1669915708
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Entity Type | Individual
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Provider Name | JOANNA M. CHANGO-JAMES PH.D.
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Gender | Female
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Dates
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Enumeration Date | 11/21/2016
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Last Update Date | 11/21/2016
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Provider Practice Location Address
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Address Line | 2200 WILSON BLVD SUITE 412
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City | ARLINGTON
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State | VA
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Zip | 22201-3397
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Country | US
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Telephone | 571-328-5577
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Fax |
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Provider Business Mailing Address
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Address Line | 627 S PATTERSON PARK AVE APT. 2
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City | BALTIMORE
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State | MD
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Zip | 21231-3215
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Country | US
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Telephone | 215-350-7116
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 0810005236
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License Number State | VA
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