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General NPI Number Information
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NPI Number | 1922165299
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Entity Type | Organization
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Legal Business Name | PARKLAND HEALTH CENTER, INC.
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 312 S WASHINGTON ST 2B
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City | ALEXANDRIA
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State | VA
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Zip | 22314-3684
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Country | US
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Telephone | 703-299-6639
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 19875
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City | ALEXANDRIA
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State | VA
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Zip | 22320-0875
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Country | US
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Telephone | 703-299-6639
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | SONIA PILOT
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Credential |
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Telephone | 703-299-6639
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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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