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General NPI Number Information
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NPI Number | 1538812763
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Entity Type | Organization
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Legal Business Name | ROSE THERAPY AND COUNSELING, LLC
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Dates
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Enumeration Date | 01/28/2022
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Last Update Date | 01/28/2022
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Provider Practice Location Address
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Address Line | 9711 WASHINGTONIAN BLVD STE 550
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City | GAITHERSBURG
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State | MD
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Zip | 20878-5789
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Country | US
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Telephone | 240-294-3414
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Fax |
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Provider Business Mailing Address
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Address Line | 13406 BRACKLEY TER
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City | SILVER SPRING
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State | MD
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Zip | 20904-3225
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Country | US
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Telephone | 240-294-3414
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TRACY TSAO
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Credential | LCPC
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Telephone | 240-294-3414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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