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General NPI Number Information
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NPI Number | 1609196906
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Entity Type | Organization
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Legal Business Name | NATIONAL INSTITUTE OF RELATIONSHIP ENHANCEMENT
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Dates
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Enumeration Date | 06/09/2010
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Last Update Date | 06/09/2010
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Provider Practice Location Address
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Address Line | 4400 E WEST HWY SUITE 28
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City | BETHESDA
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State | MD
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Zip | 20814-4524
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Country | US
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Telephone | 301-986-1479
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Fax | 301-680-3756
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Provider Business Mailing Address
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Address Line | 4400 E WEST HWY SUITE 28
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City | BETHESDA
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State | MD
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Zip | 20814-4524
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Country | US
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Telephone | 301-986-1479
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Fax | 301-680-3756
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. ROBERT FRANC SCUKA
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Credential | LCSW-C
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Telephone | 301-986-1479
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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 | 08937
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License Number State | MD
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