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General NPI Number Information
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NPI Number | 1083377311
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Entity Type | Organization
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Legal Business Name | OUR INNER JOURNEY, LLC
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Dates
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Enumeration Date | 10/13/2021
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Last Update Date | 10/13/2021
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Provider Practice Location Address
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Address Line | 1629 K ST NW STE 300
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City | WASHINGTON
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State | DC
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Zip | 20006-1631
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Country | US
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Telephone | 202-618-5875
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Fax |
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Provider Business Mailing Address
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Address Line | 180 HIGH PARK LN APT 810
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City | SILVER SPRING
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State | MD
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Zip | 20910-4175
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Country | US
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Telephone | 770-882-6120
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MS. SHARAI BRADSHAW
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Credential | LMFT
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Telephone | 202-618-5875
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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