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General NPI Number Information
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NPI Number | 1639725898
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Entity Type | Organization
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Legal Business Name | DANA J GRASSO PSYD PLLC
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Dates
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Enumeration Date | 08/14/2019
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Last Update Date | 08/14/2019
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Provider Practice Location Address
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Address Line | 1990 K ST NW STE 635
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City | WASHINGTON
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State | DC
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Zip | 20006-1103
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Country | US
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Telephone | 202-374-5756
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Fax |
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Provider Business Mailing Address
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Address Line | 6303 CROOKED OAK LN
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City | FALLS CHURCH
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State | VA
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Zip | 22042-3100
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Country | US
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Telephone | 516-991-7668
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANA JUSTINE GRASSO
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Credential | PSYD
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Telephone | 202-374-5756
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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 |
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License Number State |
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