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General NPI Number Information
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NPI Number | 1982998910
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Entity Type | Individual
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Provider Name | BARBARA G SMITH PHD
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Gender | Female
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Dates
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Enumeration Date | 06/07/2011
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Last Update Date | 02/25/2021
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Provider Practice Location Address
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Address Line | 3900 JERMANTOWN RD STE 300
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City | FAIRFAX
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State | VA
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Zip | 22030-4900
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Country | US
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Telephone | 703-574-0012
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Fax | 571-266-5548
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Provider Business Mailing Address
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Address Line | 3900 JERMANTOWN RD STE 300
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City | FAIRFAX
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State | VA
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Zip | 22030-4900
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Country | US
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Telephone | 703-574-0012
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Fax | 571-266-5538
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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 | 0810004420
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License Number State | VA
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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 | 0810004420
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License Number State | VA
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