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General NPI Number Information
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NPI Number | 1437712718
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Entity Type | Organization
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Legal Business Name | THE COUPLE AND FAMILY CLINIC
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Dates
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Enumeration Date | 04/22/2019
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Last Update Date | 04/22/2019
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Provider Practice Location Address
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Address Line | 4424 MONTGOMERY AVE STE 201
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City | BETHESDA
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State | MD
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Zip | 20814-4436
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Country | US
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Telephone | 240-390-6381
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Fax |
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Provider Business Mailing Address
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Address Line | 2524 LOCUSTWOOD PL
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City | SILVER SPRING
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State | MD
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Zip | 20905-6421
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Country | US
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Telephone | 301-633-1020
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Fax |
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Authorized Official
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Title or Position | OWNER AND PRINCIPAL THERAPIST
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Name | MR. ROBIN S SMITH
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Credential | LCMFT
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Telephone | 301-633-1020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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