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General NPI Number Information
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NPI Number | 1992035612
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Entity Type | Individual
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Provider Name | CAROLINE B HALL PHD, LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/31/2009
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Last Update Date | 05/06/2011
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Provider Practice Location Address
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Address Line | 3800 RESERVOIR RD NW 5TH FLOOR, KOBER COGAN BUILDING
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City | WASHINGTON
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State | DC
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Zip | 20007-2113
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Country | US
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Telephone | 202-784-0682
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Fax | 202-687-8577
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Provider Business Mailing Address
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Address Line | 3113 9TH ST N
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City | ARLINGTON
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State | VA
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Zip | 22201-2024
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Country | US
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Telephone | 703-812-0963
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | LC302445
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License Number State | DC
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