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General NPI Number Information
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NPI Number | 1881128288
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Entity Type | Individual
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Provider Name | KATHRYN JANETTE HOLLOWAY PH.D.
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Gender | Female
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Dates
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Enumeration Date | 04/12/2017
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Last Update Date | 05/31/2025
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Provider Practice Location Address
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Address Line | 3196 RIVANNA CT
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City | WOODBRIDGE
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State | VA
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Zip | 22192-3373
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Country | US
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Telephone | 805-341-1389
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Fax |
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Provider Business Mailing Address
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Address Line | 39169 ALDIE RD
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City | ALDIE
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State | VA
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Zip | 20105-2005
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Country | US
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Telephone | 805-341-1389
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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 | PSY29542
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0810005364
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License Number State | VA
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