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General NPI Number Information
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NPI Number | 1730046483
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Entity Type | Organization
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Legal Business Name | COVERED DBT & BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 1765 GREENSBORO STATION PL FL 9
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City | MC LEAN
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State | VA
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Zip | 22102-3472
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Country | US
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Telephone | 571-477-1611
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Fax |
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Provider Business Mailing Address
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Address Line | 1765 GREENSBORO STATION PL FL 9
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City | MC LEAN
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State | VA
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Zip | 22102-3472
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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 | DIRECTOR
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Name | DR. JOANNA MARINO
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Credential | PHD
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Telephone | 571-477-1611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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