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General NPI Number Information
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NPI Number | 1497882039
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Entity Type | Organization
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Legal Business Name | ASCENSIONS COMMUNITY SERVICES, INC.
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1526 HOWARD RD SE
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City | WASHINGTON
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State | DC
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Zip | 20020-4426
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Country | US
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Telephone | 202-889-4344
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Fax |
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Provider Business Mailing Address
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Address Line | 1526 HOWARD RD SE
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City | WASHINGTON
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State | DC
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Zip | 20020-4426
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Country | US
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Telephone | 202-889-4344
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL PSYCHOLOGIST
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Name | DR. SATIRA SHARON STREETER
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Credential | PSY.D.
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Telephone | 202-399-6281
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY1000211
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License Number State | DC
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