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General NPI Number Information
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NPI Number | 1902046360
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Entity Type | Organization
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Legal Business Name | WASHINGTON BEHAVIORAL HEALTH, PC
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Dates
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Enumeration Date | 02/25/2009
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Last Update Date | 02/25/2009
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Provider Practice Location Address
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Address Line | 8301 ARLINGTON BLVD SUITE #100
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City | FAIRFAX
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State | VA
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Zip | 22031-2902
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Country | US
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Telephone | 703-356-0039
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Fax | 703-738-4406
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Provider Business Mailing Address
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Address Line | 8301 ARLINGTON BLVD SUITE #100
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City | FAIRFAX
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State | VA
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Zip | 22031-2902
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Country | US
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Telephone | 703-356-0039
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Fax | 703-738-4406
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | HUSAM K. ALATHARI
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Credential | MD
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Telephone | 703-356-0039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 99461201
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License Number State | VA
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