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General NPI Number Information
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NPI Number | 1851503361
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Entity Type | Organization
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Legal Business Name | ANGER & STRESS MANAGEMENT CENTER, INC.
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 10375B DEMOCRACY LANE
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City | FAIRFAX
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State | VA
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Zip | 22030
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Country | US
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Telephone | 703-293-9231
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Fax |
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Provider Business Mailing Address
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Address Line | 10375B DEMOCRACY LANE
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City | FAIRFAX
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State | VA
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Zip | 22030
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Country | US
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Telephone | 703-293-9231
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. LORETTA G. ROWE
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Credential | L.P.C., L.M.F.T.
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Telephone | 703-293-9231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 0717000262
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 0701002156
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License Number State | VA
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