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General NPI Number Information
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NPI Number | 1912009317
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Entity Type | Organization
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Legal Business Name | PSYCHOLOGY ASSOCIATES PC
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Dates
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Enumeration Date | 09/05/2006
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Last Update Date | 11/18/2010
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Provider Practice Location Address
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Address Line | 112 BELLEVIEW AVENUE
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City | ORANGE
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State | VA
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Zip | 22960
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Country | US
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Telephone | 540-672-0474
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Fax |
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Provider Business Mailing Address
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Address Line | 112 BELLEVIEW AVE
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City | ORANGE
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State | VA
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Zip | 22960-1402
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Country | US
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Telephone | 540-672-0474
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Fax | 540-672-3029
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Authorized Official
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Title or Position | PRESIDENT-OWNER
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Name | DR. JOSEPH NAGEL
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Credential | PH.D
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Telephone | 540-672-0474
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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 | 075
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License Number State | VA
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