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General NPI Number Information
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NPI Number | 1902363575
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Entity Type | Organization
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Legal Business Name | NEXT LEVEL THERAPEUTIC INTERVENTIONS
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Dates
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Enumeration Date | 03/01/2019
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Last Update Date | 01/08/2021
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Provider Practice Location Address
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Address Line | 1325 QUINCY ST NE
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City | WASHINGTON
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State | DC
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Zip | 20017-2615
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Country | US
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Telephone | 240-602-2357
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Fax | 202-397-3296
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Provider Business Mailing Address
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Address Line | 1325 QUINCY ST NE
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City | WASHINGTON
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State | DC
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Zip | 20017-2615
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Country | US
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Telephone | 800-759-1196
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Fax | 202-610-3095
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Authorized Official
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Title or Position | OWNER
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Name | DIANE M. JONES
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Credential | LICSW
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Telephone | 240-602-2357
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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