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General NPI Number Information
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NPI Number | 1831762236
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Entity Type | Organization
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Legal Business Name | ENCOUNTER PSYCHOTHERAPY
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Dates
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Enumeration Date | 07/22/2021
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Last Update Date | 07/22/2021
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Provider Practice Location Address
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Address Line | 9711 WASHINGTONIAN BLVD STE 550
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City | GAITHERSBURG
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State | MD
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Zip | 20878-5789
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Country | US
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Telephone | 240-753-0587
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Fax |
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Provider Business Mailing Address
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Address Line | 639 PULLMAN PL
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City | MONTGOMERY VILLAGE
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State | MD
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Zip | 20877-3354
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Country | US
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Telephone | 718-496-8551
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | ZIXUAN WANG
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Credential | PSYD
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Telephone | 718-496-8551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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