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General NPI Number Information
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NPI Number | 1700367232
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Entity Type | Organization
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Legal Business Name | ONE DISTRICT THERAPY
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Dates
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Enumeration Date | 08/23/2018
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Last Update Date | 08/23/2018
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Provider Practice Location Address
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Address Line | 1519 CONNECTICUT AVE NW STE 201
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City | WASHINGTON
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State | DC
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Zip | 20036-1121
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Country | US
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Telephone | 202-559-5647
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Fax |
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Provider Business Mailing Address
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Address Line | 4840 MACARTHUR BLVD NW STE 201
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City | WASHINGTON
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State | DC
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Zip | 20007-1590
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Country | US
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Telephone | 301-300-3041
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. KRISTY MORRIS
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Credential | PHD
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Telephone | 202-559-5647
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY1000863
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License Number State | DC
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