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General NPI Number Information
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NPI Number | 1811410822
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Entity Type | Individual
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Provider Name | MICHAEL SETZER
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Gender | Male
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Dates
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Enumeration Date | 07/21/2017
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Last Update Date | 08/15/2024
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Provider Practice Location Address
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Address Line | 8901 ROCKVILLE PIKE
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City | BETHESDA
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State | MD
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Zip | 20889-0001
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Country | US
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Telephone | 570-423-0959
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Fax |
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Provider Business Mailing Address
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Address Line | 106 IRVING STREET NW POB SOUTH, SUITE 108
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City | WASHINGTON
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State | DC
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Zip | 20010
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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 |
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Name |
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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 |
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Taxonomy #2
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Taxonomy Code | 170300000X
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Taxonomy Name | Genetic Counselor (M.S.)
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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