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General NPI Number Information
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NPI Number | 1720849599
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Entity Type | Organization
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Legal Business Name | TOUCHING HEARTS BEHAVIORAL HEALTH SERVICES PLLC
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Dates
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Enumeration Date | 01/18/2024
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Last Update Date | 01/18/2024
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Provider Practice Location Address
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Address Line | 12884 HARBOR DR
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City | WOODBRIDGE
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State | VA
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Zip | 22192-2921
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Country | US
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Telephone | 703-972-5851
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Fax |
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Provider Business Mailing Address
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Address Line | 2227 OLD BRIDGE RD # 198
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City | WOODBRIDGE
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State | VA
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Zip | 22192-3007
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Country | US
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Telephone | 703-972-5851
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Fax |
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Authorized Official
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Title or Position | MEMBER/MANAGER
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Name | DR. TRACY PALMER
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Credential | PSYD, MPH
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Telephone | 703-972-5851
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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 |
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License Number State |
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