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General NPI Number Information
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NPI Number | 1740554245
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Entity Type | Organization
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Legal Business Name | MICHELLE SJOLINDER, PLLC
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Dates
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Enumeration Date | 02/29/2012
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Last Update Date | 02/29/2012
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Provider Practice Location Address
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Address Line | 4020 PLANK RD UNIT A
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City | FREDERICKSBURG
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State | VA
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Zip | 22407-4800
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Country | US
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Telephone | 703-732-3411
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Fax |
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Provider Business Mailing Address
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Address Line | 4020 PLANK RD UNIT A
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City | FREDERICKSBURG
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State | VA
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Zip | 22407-4800
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Country | US
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Telephone | 703-732-3411
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. MICHELLE SJOLINDER
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Credential | PSYD, CSOTP
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Telephone | 703-732-3411
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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 | 0810004146
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License Number State | VA
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