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General NPI Number Information
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NPI Number | 1932812047
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Entity Type | Organization
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Legal Business Name | CENTER FOR WOMEN'S PSYCHOTHERAPY LLC
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Dates
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Enumeration Date | 01/04/2023
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Last Update Date | 11/30/2024
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Provider Practice Location Address
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Address Line | 2200 WILSON BLVD STE 805
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City | ARLINGTON
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State | VA
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Zip | 22201-3361
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Country | US
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Telephone | 646-244-4546
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Fax |
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Provider Business Mailing Address
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Address Line | 2300 WILSON BLVD STE 755
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City | ARLINGTON
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State | VA
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Zip | 22201-5424
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Country | US
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Telephone | 646-244-4546
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | TRAM HUYNH
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Credential | PHD
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Telephone | 646-244-4546
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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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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