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General NPI Number Information
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NPI Number | 1851028286
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Entity Type | Individual
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Provider Name | RACHEL KELLIE KABIR
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Gender | Female
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Dates
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Enumeration Date | 08/05/2022
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Last Update Date | 08/05/2022
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Provider Practice Location Address
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Address Line | 300 N WASHINGTON ST STE 102
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City | FALLS CHURCH
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State | VA
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Zip | 22046-3441
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Country | US
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Telephone | 703-618-0900
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Fax |
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Provider Business Mailing Address
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Address Line | 880 P ST NW APT 722
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City | WASHINGTON
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State | DC
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Zip | 20001-3553
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Country | US
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Telephone | 317-460-3436
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0810007915
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License Number State | VA
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