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General NPI Number Information
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NPI Number | 1063077659
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Entity Type | Organization
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Legal Business Name | ROBIN BRANNAN LCMFT LLC
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Dates
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Enumeration Date | 05/08/2019
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Last Update Date | 05/08/2019
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Provider Practice Location Address
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Address Line | 3720 FARRAGUT AVE STE 301
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City | KENSINGTON
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State | MD
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Zip | 20895-2110
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Country | US
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Telephone | 240-242-5185
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Fax |
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Provider Business Mailing Address
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Address Line | 11307 FARMLAND DR
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City | ROCKVILLE
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State | MD
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Zip | 20852-4523
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Country | US
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Telephone | 301-785-8875
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | ROBIN BRANNAN
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Credential | LCMFT
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Telephone | 240-242-5185
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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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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