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General NPI Number Information
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NPI Number | 1427303197
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Entity Type | Organization
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Legal Business Name | METROPOLITAN THERAPEUTIC SERVICES, INC.
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Dates
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Enumeration Date | 07/19/2012
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Last Update Date | 07/19/2012
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Provider Practice Location Address
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Address Line | 1425 K ST NW SUITE #350
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City | WASHINGTON
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State | DC
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Zip | 20005-3500
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Country | US
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Telephone | 202-302-0448
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Fax |
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Provider Business Mailing Address
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Address Line | 1425 K ST NW SUITE #350
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City | WASHINGTON
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State | DC
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Zip | 20005-3500
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Country | US
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Telephone | 202-302-0448
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. MILDRED NAMLE NTI
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Credential | PHD
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Telephone | 202-302-0448
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PRC1370
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PRC173
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 04859
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD22004
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License Number State | DC
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | CN1000286
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License Number State | DC
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Taxonomy #6
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PRC13770
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License Number State | DC
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