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General NPI Number Information
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NPI Number | 1902152465
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Entity Type | Individual
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Provider Name | MEGAN ELIZABETH MCRAE PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 08/01/2012
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Last Update Date | 08/01/2012
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Provider Practice Location Address
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Address Line | 20905 PROFESSIONAL PLZ SUITE 220
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City | ASHBURN
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State | VA
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Zip | 20147-7783
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Country | US
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Telephone | 703-858-9841
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Fax | 703-858-9446
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Provider Business Mailing Address
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Address Line | 20905 PROFESSIONAL PLZ SUITE 220
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City | ASHBURN
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State | VA
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Zip | 20147-7783
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Country | US
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Telephone | 703-858-9841
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Fax | 703-858-9446
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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 | 0810004619
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License Number State | VA
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