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General NPI Number Information
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NPI Number | 1912638370
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Entity Type | Organization
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Legal Business Name | ALEXIS HERMAN, PSYD L.L.C.
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Dates
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Enumeration Date | 06/17/2022
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Last Update Date | 08/22/2022
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Provider Practice Location Address
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Address Line | 1600 WILSON BLVD STE 702
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City | ARLINGTON
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State | VA
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Zip | 22209-2505
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Country | US
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Telephone | 202-656-1008
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 WILSON BLVD STE 702
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City | ARLINGTON
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State | VA
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Zip | 22209-2505
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Country | US
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Telephone | 202-656-1008
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Fax |
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Authorized Official
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Title or Position | CONTRACTOR
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Name | JULIA DOWNER
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Credential |
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Telephone | 571-296-9792
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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 |
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License Number State |
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