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General NPI Number Information
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NPI Number | 1922017565
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Entity Type | Individual
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Provider Name | ANGELICA M ESCALONA PH.D
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Gender | Female
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 9300 DEWITT LOOP
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City | FT BELVOIR
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State | VA
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Zip | 22060-5285
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Country | US
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Telephone | 571-231-5422
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Fax |
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Provider Business Mailing Address
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Address Line | 500 MADISON ST UNIT 219
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City | ALEXANDRIA
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State | VA
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Zip | 22314-1992
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Country | US
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Telephone | 305-926-5534
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Fax |
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | B10000739
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | B10000739
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License Number State | DE
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