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General NPI Number Information
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NPI Number | 1699207993
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Entity Type | Organization
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Legal Business Name | DR. JUDI SPREI AND ASSOCIATES
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Dates
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Enumeration Date | 03/28/2017
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Last Update Date | 03/28/2017
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Provider Practice Location Address
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Address Line | 4933 AUBURN AVE SUITE 205
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City | BETHESDA
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State | MD
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Zip | 20814-2631
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Country | US
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Telephone | 301-299-0063
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Fax |
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Provider Business Mailing Address
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Address Line | 20131 LAUREL HILL WAY
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City | GERMANTOWN
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State | MD
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Zip | 20874-1021
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | MRS. AMANDA JOYCE JACOB PEZZANITE
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Credential | LCSW-C
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Telephone | 301-646-5648
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 19151
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License Number State | MD
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