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General NPI Number Information
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NPI Number | 1801575816
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Entity Type | Organization
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Legal Business Name | BRAINSTORM CONSULTING LLC
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Dates
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Enumeration Date | 07/17/2023
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Last Update Date | 07/17/2023
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Provider Practice Location Address
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Address Line | 307 E ANNANDALE ROAD 208
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City | FALLS CHURCH
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State | VA
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Zip | 22042
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Country | US
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Telephone | 202-417-6609
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Fax |
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Provider Business Mailing Address
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Address Line | 301 W BROAD ST APT 665
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City | FALLS CHURCH
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State | VA
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Zip | 22046-3376
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Country | US
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Telephone | 202-374-8192
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROSA IRENE GUTIERREZ VANEGAS
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Credential | SLP
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Telephone | 202-374-8192
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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