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General NPI Number Information
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NPI Number | 1881716710
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Entity Type | Individual
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Provider Name | ALAN LEE BERMAN PH.D.
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Gender | Male
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5221 WISCONSIN AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20015-2032
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Country | US
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Telephone | 202-237-2280
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Fax | 202-237-2282
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Provider Business Mailing Address
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Address Line | 7200 MAPLE AVE
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City | CHEVY CHASE
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State | MD
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Zip | 20815-5110
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Country | US
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Telephone | 301-657-9367
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Fax | 202-237-2282
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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 | PSY7
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License Number State | DC
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