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General NPI Number Information
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NPI Number | 1275832248
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Entity Type | Organization
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Legal Business Name | ASCEND SERVICES
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Dates
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Enumeration Date | 03/16/2011
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Last Update Date | 03/16/2011
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Provider Practice Location Address
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Address Line | 5530 WISCONSIN AVE #802
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City | CHEVY CHASE
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State | MD
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Zip | 20815
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Country | US
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Telephone | 240-401-9474
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Fax | 240-491-5982
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Provider Business Mailing Address
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Address Line | 4938 HAMPDEN LN #207
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City | BETHESDA
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State | MD
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Zip | 20814
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Country | US
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Telephone | 240-401-9474
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Fax | 240-491-5982
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Authorized Official
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Title or Position | OWNER AND LEAD PSYCHIATRIST
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Name | DR. IMAN HYPOLITE
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Credential | MD
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Telephone | 240-401-9474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | D0066202
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License Number State | MD
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