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General NPI Number Information
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NPI Number | 1679849723
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Entity Type | Organization
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Legal Business Name | CARE FOR CHILDREN INTERNATIONAL, INC.
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Dates
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Enumeration Date | 03/22/2012
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Last Update Date | 03/22/2012
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Provider Practice Location Address
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Address Line | 13310 COMPTON RD
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City | CLIFTON
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State | VA
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Zip | 20124-1512
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Country | US
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Telephone | 703-830-6052
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Fax | 703-830-6054
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Provider Business Mailing Address
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Address Line | 13310 COMPTON RD
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City | CLIFTON
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State | VA
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Zip | 20124-1512
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Country | US
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Telephone | 703-830-6052
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Fax | 703-830-6054
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Authorized Official
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Title or Position | OWNER/CLINICAL PSYCHOLOGIST
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Name | DR. RONALD FEDERICI
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Credential | PSY.D.
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Telephone | 703-830-6052
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 0810001534
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License Number State | VA
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