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NPI Code Detail

MEDICARE: DIPANA JAIN

MEDICARE: DIPANA JAIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist

General Provider Information

NPI Number : 1932893450
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIPANA JAIN
Provider Business Mailing Address
First Line : 2000 15TH ST N STE 1003
Second Line :
City : ARLINGTON
State : VA
Zip : 22201-2610
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2000 15TH ST N STE 1003
Second Line :
City : ARLINGTON
State : VA
Zip : 22201-2610
Country : US
Telephone Number : 703-520-1072
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2023
Last Update Date : 03/14/2024

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Directions to “ DIPANA JAIN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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