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General NPI Number Information
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NPI Number | 1922284512
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Entity Type | Organization
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Legal Business Name | ASSOCIATES IN CLINICAL PSYCHOLOGY AND PSYCHOTHERAPY, PC
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Dates
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Enumeration Date | 01/14/2008
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Last Update Date | 01/14/2008
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Provider Practice Location Address
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Address Line | 3108 N PARHAM RD SUITE 200A
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City | RICHMOND
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State | VA
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Zip | 23294-4421
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Country | US
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Telephone | 804-273-9687
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Fax | 804-270-0474
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Provider Business Mailing Address
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Address Line | 3108 N PARHAM RD SUITE 200A
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City | RICHMOND
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State | VA
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Zip | 23294-4421
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Country | US
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Telephone | 804-273-9687
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Fax | 804-270-0474
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. CHARLOTTE K WENZEL
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Credential | PHD
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Telephone | 804-273-9687
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 0810001243
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License Number State | VA
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