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General NPI Number Information
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NPI Number | 1396333712
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Entity Type | Organization
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Legal Business Name | HIRSCH PSYCHOTHERAPY LLC
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Dates
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Enumeration Date | 01/03/2021
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Last Update Date | 01/04/2021
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Provider Practice Location Address
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Address Line | 17512 GATSBY TER
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City | OLNEY
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State | MD
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Zip | 20832-2300
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Country | US
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Telephone | 240-481-8041
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Fax |
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Provider Business Mailing Address
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Address Line | 49 EDGECLIFF RD
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City | CARNEGIE
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State | PA
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Zip | 15106-1006
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Country | US
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Telephone | 240-481-8041
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LAUREN HIRSCH
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Credential |
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Telephone | 240-481-8041
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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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