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General NPI Number Information
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NPI Number | 1396690335
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Entity Type | Organization
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Legal Business Name | FAMILY THERAPY CENTER OF BETHESDA
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Dates
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Enumeration Date | 03/04/2026
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Last Update Date | 03/04/2026
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Provider Practice Location Address
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Address Line | 5654 SHIELDS DR
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City | BETHESDA
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State | MD
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Zip | 20817-3574
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Country | US
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Telephone | 240-883-6074
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Fax |
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Provider Business Mailing Address
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Address Line | 4900 MOORLAND LN APT 521
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City | BETHESDA
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State | MD
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Zip | 20814-6298
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | JAMIE KAYLIE
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Credential |
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Telephone | 301-919-1601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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