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General NPI Number Information
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NPI Number | 1023376407
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Entity Type | Organization
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Legal Business Name | GEORGETOWN PSYCHOLOGY, P.C.
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Dates
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Enumeration Date | 04/24/2012
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Last Update Date | 02/03/2020
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Provider Practice Location Address
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Address Line | 1054 31ST ST NW STE 312
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City | WASHINGTON
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State | DC
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Zip | 20007-6042
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Country | US
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Telephone | 202-333-6251
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Fax | 202-333-6255
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Provider Business Mailing Address
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Address Line | 8120 WOODMONT AVE STE 660
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City | BETHESDA
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State | MD
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Zip | 20814-2743
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Country | US
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Telephone | 301-652-5550
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARIA ZIMMITTI
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Credential |
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Telephone | 202-333-6251
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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 | 1940
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License Number State | DC
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