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General NPI Number Information
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NPI Number | 1932389723
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Entity Type | Organization
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Legal Business Name | METROPOLITAN BEHAVIORAL HEALTH CARE, LLC
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Dates
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Enumeration Date | 11/08/2007
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Last Update Date | 11/08/2007
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Provider Practice Location Address
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Address Line | 910 17TH ST NW SUITE 306
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City | WASHINGTON
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State | DC
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Zip | 20006-2601
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Country | US
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Telephone | 202-452-6257
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Fax | 202-530-0744
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Provider Business Mailing Address
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Address Line | 8811 COLESVILLE RD SUITE 104
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City | SILVER SPRING
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State | MD
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Zip | 20910-4343
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Country | US
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Telephone | 301-585-5539
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Fax | 301-587-4327
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Authorized Official
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Title or Position | OWNER
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Name | DR. RONALD LEE KIMBALL
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Credential | PHD
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Telephone | 202-452-6257
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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 | PSYC826
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License Number State | DC
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