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General NPI Number Information
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NPI Number | 1891448015
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Entity Type | Organization
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Legal Business Name | EMMA BASCH PSYD PLLC
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Dates
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Enumeration Date | 01/28/2022
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Last Update Date | 01/28/2022
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Provider Practice Location Address
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Address Line | 3768 MCKINLEY ST NW
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City | WASHINGTON
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State | DC
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Zip | 20015-2510
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Country | US
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Telephone | 202-329-4147
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Fax |
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Provider Business Mailing Address
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Address Line | 6218 GEORGIA AVE NW STE 1518
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City | WASHINGTON
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State | DC
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Zip | 20011-5125
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Country | US
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Telephone | 202-630-5066
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOIST/DIRECTOR
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Name | DR. EMMA BASCH
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Credential | PSYD
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Telephone | 202-630-5066
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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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