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General NPI Number Information
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NPI Number | 1023396397
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Entity Type | Organization
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Legal Business Name | KING THERAPEUTIC AND ASSESSMENT SERVICES
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Dates
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Enumeration Date | 08/03/2011
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Last Update Date | 08/03/2011
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Provider Practice Location Address
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Address Line | 4400 E WEST HWY
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City | BETHESDA
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State | MD
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Zip | 20814-4524
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Country | US
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Telephone | 301-641-2686
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 341903
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City | BETHESDA
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State | MD
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Zip | 20827-1903
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SETH KING
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Credential |
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Telephone | 301-641-2686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 03816
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License Number State | MD
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