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General NPI Number Information
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NPI Number | 1245738848
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Entity Type | Organization
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Legal Business Name | CHOICES IN HEALING AND RECOVERY LLC
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Dates
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Enumeration Date | 01/29/2018
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Last Update Date | 01/29/2018
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Provider Practice Location Address
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Address Line | 1629 K ST NW CHOICES IN HEALING & RECOVERY LLC SUITE 300
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City | WASHINGTON
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State | DC
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Zip | 20006
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Country | US
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Telephone | 202-540-0713
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Fax |
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Provider Business Mailing Address
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Address Line | 1119 MONTELLO AVE NE
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City | WASHINGTON
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State | DC
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Zip | 20002-3801
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Country | US
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Telephone | 202-540-0713
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Fax |
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Authorized Official
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Title or Position | FOUNDER & DIRECTOR
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Name | ERYCA KASSE
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Credential | LICSW
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Telephone | 202-540-0713
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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 | LC50079523
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License Number State | DC
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