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General NPI Number Information
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NPI Number | 1801332200
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Entity Type | Organization
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Legal Business Name | MARRIAGE AND FAMILY THERAPY SERVICES LLC
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Dates
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Enumeration Date | 01/10/2017
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Last Update Date | 01/10/2017
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Provider Practice Location Address
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Address Line | 2020 PENNSYLVANIA AVE NW # 272
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City | WASHINGTON
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State | DC
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Zip | 20006-1811
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Country | US
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Telephone | 202-569-8845
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Fax |
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Provider Business Mailing Address
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Address Line | 2020 PENNSYLVANIA AVE NW # 272
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City | WASHINGTON
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State | DC
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Zip | 20006-1811
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Country | US
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Telephone | 202-569-8845
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DANIELLE BLESSING TAYLOR
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Credential |
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Telephone | 202-569-8845
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT000177
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License Number State | DC
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