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General NPI Number Information
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NPI Number | 1043052426
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Entity Type | Organization
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Legal Business Name | DOMENICA CARRESE
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Dates
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Enumeration Date | 06/07/2024
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Last Update Date | 06/07/2024
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Provider Practice Location Address
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Address Line | 1 RESEARCH CT STE 450
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City | ROCKVILLE
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State | MD
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Zip | 20850-6252
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Country | US
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Telephone | 240-215-3517
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7611
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City | GAITHERSBURG
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State | MD
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Zip | 20898-7611
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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 | FOUNDER & THERAPIST
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Name | DOMENICA CARRESE
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Credential | M.S., LCMFT
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Telephone | 240-215-3517
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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