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General NPI Number Information
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NPI Number | 1124240601
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Entity Type | Organization
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Legal Business Name | RENE LAJE, PH.D.
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1350 CONNECTICUT AVENUE NW SUITE 801
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City | WASHINGTON
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State | DC
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Zip | 20036
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Country | US
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Telephone | 301-455-4149
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Fax |
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Provider Business Mailing Address
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Address Line | 7528 HEATHERTON LANE
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City | POTOMAC
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State | MD
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Zip | 20854
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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 | THERAPIST
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Name | DR. RENE LAJE
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Credential | PH.D.
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Telephone | 301-455-4149
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC50078104
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License Number State | DC
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