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General NPI Number Information
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NPI Number | 1770295123
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Entity Type | Organization
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Legal Business Name | SARA E ROSENQUIST P.A.
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Dates
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Enumeration Date | 12/16/2022
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 1800 MICHAEL FARADAY DR STE 206
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City | RESTON
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State | VA
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Zip | 20190-5312
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Country | US
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Telephone | 866-337-4911
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Fax | 866-919-4850
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Provider Business Mailing Address
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Address Line | 5909 EDGEHILL DR
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City | ALEXANDRIA
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State | VA
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Zip | 22303-1310
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Country | US
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Telephone | 866-337-4911
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE OFFICER
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Name | SARA ELLEN ROSENQUIST
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Credential | PHD
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Telephone | 866-337-4911
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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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