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General NPI Number Information
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NPI Number | 1427595743
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Entity Type | Individual
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Provider Name | DIANE CYNTHIA PLACIDE LGPC, M.ED
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Gender | Female
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Dates
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Enumeration Date | 01/24/2017
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Last Update Date | 01/24/2017
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Provider Practice Location Address
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Address Line | 1325 G ST NW STE 500
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City | WASHINGTON
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State | DC
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Zip | 20005-3136
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Country | US
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Telephone | 508-272-6348
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Fax |
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Provider Business Mailing Address
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Address Line | 1325 G ST NW STE 500
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City | WASHINGTON
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State | DC
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Zip | 20005-3136
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Country | US
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Telephone | 301-537-6118
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | LGPC00229
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License Number State | DC
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