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General NPI Number Information
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NPI Number | 1134759442
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Entity Type | Individual
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Provider Name | PIUMI HIMASARA RAJASEKERA
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Gender | Female
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Dates
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Enumeration Date | 01/26/2020
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Last Update Date | 01/26/2020
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Provider Practice Location Address
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Address Line | 885 BARNABY ST SE
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City | WASHINGTON
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State | DC
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Zip | 20032-3955
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Country | US
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Telephone | 202-373-0035
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Fax |
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Provider Business Mailing Address
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Address Line | 12903 RUSTIC ROCK LN
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City | BELTSVILLE
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State | MD
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Zip | 20705-1556
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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 |
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Name |
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Credential |
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Telephone |
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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 | PSYA00307
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License Number State | DC
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