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General NPI Number Information
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NPI Number | 1477975027
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Entity Type | Organization
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Legal Business Name | GATES RANKIN PSYCHOTHERAPY LLC
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Dates
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Enumeration Date | 01/16/2014
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Last Update Date | 01/16/2014
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Provider Practice Location Address
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Address Line | 4000 ALBEMARLE ST NW #300
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City | WASHINGTON
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State | DC
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Zip | 20016-1851
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Country | US
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Telephone | 202-244-4044
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Fax | 202-244-4474
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Provider Business Mailing Address
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Address Line | 4000 ALBEMARLE ST NW #300
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City | WASHINGTON
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State | DC
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Zip | 20016-1851
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Country | US
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Telephone | 202-244-4044
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Fax | 202-244-4474
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Authorized Official
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Title or Position | PARTNER
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Name | APRIL D GATES
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Credential | MSW
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Telephone | 202-244-4044
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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 | LC3000743
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License Number State | DC
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