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General NPI Number Information
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NPI Number | 1689283426
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Entity Type | Organization
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Legal Business Name | FAMILY THERAPY INSTITUTE OF WASHINGTON LLC
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Dates
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Enumeration Date | 07/28/2020
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Last Update Date | 07/28/2020
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Provider Practice Location Address
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Address Line | 1768 BUSINESS CENTER DR STE 360
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City | RESTON
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State | VA
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Zip | 20190-5358
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Country | US
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Telephone | 310-906-8770
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Fax |
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Provider Business Mailing Address
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Address Line | 1768 BUSINESS CENTER DR STE 360
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City | RESTON
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State | VA
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Zip | 20190-5358
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Country | US
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Telephone | 310-906-8770
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. HASSAN KARIMI
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Credential | LMFT, PH.D.
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Telephone | 310-906-8770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TP0814X
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Taxonomy Name | Psychoanalysis Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number |
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License Number State |
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