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General NPI Number Information
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NPI Number | 1871278184
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Entity Type | Organization
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Legal Business Name | RISE DC
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Dates
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Enumeration Date | 06/15/2023
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Last Update Date | 03/21/2024
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Provider Practice Location Address
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Address Line | 2121 DECATUR PL NW
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City | WASHINGTON
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State | DC
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Zip | 20008-1938
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Country | US
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Telephone | 202-670-7656
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Fax |
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Provider Business Mailing Address
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Address Line | 2121 DECATUR PL NW STE 10
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City | WASHINGTON
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State | DC
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Zip | 20008-1943
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Country | US
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Telephone | 202-670-7656
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST & CO-FOUNDER
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Name | MORGAN SMITH
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Credential | OTR/L
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Telephone | 412-965-5538
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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