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General NPI Number Information
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NPI Number | 1275857955
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Entity Type | Organization
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Legal Business Name | BRAINSAKE, LLC
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Dates
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Enumeration Date | 03/24/2010
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Last Update Date | 02/06/2015
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Provider Practice Location Address
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Address Line | 7910 WOODMONT AVE SUITE 305
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City | BETHESDA
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State | MD
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Zip | 20814-2519
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Country | US
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Telephone | 301-215-7721
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Fax | 301-215-7718
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Provider Business Mailing Address
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Address Line | 7910 WOODMONT AVE SUITE 305
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City | BETHESDA
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State | MD
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Zip | 20814-2519
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Country | US
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Telephone | 301-215-7721
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Fax | 301-215-7718
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DIANE LYNN BADGER
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Credential |
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Telephone | 301-215-7721
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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 |
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License Number State |
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