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General NPI Number Information
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NPI Number | 1972932440
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Entity Type | Individual
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Provider Name | ADRIA JEAN-MICHAELLE TROTMAN PH.D.
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Gender | Female
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Dates
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Enumeration Date | 11/05/2013
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Last Update Date | 11/05/2013
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Provider Practice Location Address
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Address Line | 3302 GALLOWS RD
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City | FALLS CHURCH
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State | VA
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Zip | 22042-3353
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Country | US
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Telephone | 703-645-3120
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Fax |
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Provider Business Mailing Address
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Address Line | 8715 1ST AVE #1011D
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City | SILVER SPRING
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State | MD
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Zip | 20910-3556
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Country | US
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Telephone | 240-498-0659
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 05037
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License Number State | MD
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