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General NPI Number Information
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NPI Number | 1205290871
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Entity Type | Organization
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Legal Business Name | NEUROSCIENTIFIC INSIGHTS
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Dates
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Enumeration Date | 04/11/2016
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Last Update Date | 04/11/2016
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Provider Practice Location Address
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Address Line | 3202 TOWER OAKS BLVD SUITE 100
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City | ROCKVILLE
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State | MD
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Zip | 20852-4219
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Country | US
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Telephone | 301-468-1001
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Fax | 301-468-1101
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Provider Business Mailing Address
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Address Line | 3202 TOWER OAKS BLVD SUITE 100
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City | ROCKVILLE
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State | MD
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Zip | 20852-4219
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Country | US
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Telephone | 301-468-1101
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Fax | 301-468-1101
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Authorized Official
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Title or Position | OWNER
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Name | DR. AMITA JHA
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Credential | MD
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Telephone | 301-468-1001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | MD46680
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State | MD
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