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General NPI Number Information
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NPI Number | 1760630768
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Entity Type | Individual
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Provider Name | KIRA BETH BRICKER PH.D.
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Gender | Female
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Dates
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Enumeration Date | 09/03/2008
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Last Update Date | 01/30/2016
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Provider Practice Location Address
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Address Line | 932 HUNGERFORD DR SUITE 39A
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City | ROCKVILLE
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State | MD
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Zip | 20850-1713
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Country | US
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Telephone | 301-466-1527
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Fax | 301-977-9141
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Provider Business Mailing Address
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Address Line | 1 RESEARCH CT STE 100 SUITE 39A
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City | ROCKVILLE
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State | MD
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Zip | 20850-6200
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Country | US
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Telephone | 301-466-1527
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Fax | 301-977-9141
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 7615
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License Number State | FL
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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 | 04653
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License Number State | MD
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