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General NPI Number Information
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NPI Number | 1356668164
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Entity Type | Organization
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Legal Business Name | DANA E. O'BRIEN, PH.D., LLC
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Dates
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Enumeration Date | 05/03/2010
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Last Update Date | 01/09/2017
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Provider Practice Location Address
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Address Line | 11119 ROCKVILLE PIKE SUITE 200
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City | ROCKVILLE
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State | MD
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Zip | 20852-3143
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Country | US
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Telephone | 301-231-9665
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Fax | 301-231-0129
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Provider Business Mailing Address
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Address Line | 11119 ROCKVILLE PIKE SUITE 200
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City | ROCKVILLE
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State | MD
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Zip | 20852-3143
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Country | US
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Telephone | 301-231-9665
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Fax | 301-231-0129
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANA ELIZABETH O'BRIEN
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Credential | PH.D.
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Telephone | 301-231-9665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 01577
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License Number State | MD
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