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General NPI Number Information
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NPI Number | 1104366814
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Entity Type | Organization
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Legal Business Name | ACHIEVING JOY LLC
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Dates
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Enumeration Date | 02/28/2017
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Last Update Date | 02/28/2017
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Provider Practice Location Address
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Address Line | 1325 QUINCY ST NE
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City | WASHINGTON
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State | DC
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Zip | 20017-2615
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Country | US
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Telephone | 301-541-3225
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Fax |
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Provider Business Mailing Address
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Address Line | 5202 56TH AVE
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City | HYATTSVILLE
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State | MD
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Zip | 20781-2903
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Country | US
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Telephone | 301-541-3225
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOY PETWAY
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Credential | LICSW
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Telephone | 301-541-3225
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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 | LC50079818
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License Number State | DC
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