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General NPI Number Information
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NPI Number | 1689978249
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Entity Type | Organization
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Legal Business Name | DPH CONSULTING SERVICES, PC
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Dates
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Enumeration Date | 12/22/2010
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Last Update Date | 02/02/2011
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Provider Practice Location Address
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Address Line | 4113 MEADE ST NE
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City | WASHINGTON
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State | DC
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Zip | 20019-1949
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Country | US
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Telephone | 202-399-0005
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Fax | 202-399-7273
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Provider Business Mailing Address
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Address Line | 4113 MEADE ST NE
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City | WASHINGTON
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State | DC
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Zip | 20019-1949
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Country | US
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Telephone | 202-399-0005
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Fax | 202-399-7273
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Authorized Official
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Title or Position | CEO
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Name | DR. DACIA P HASTINGS
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Credential |
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Telephone | 202-399-0005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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