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General NPI Number Information
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NPI Number | 1932456712
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Entity Type | Organization
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Legal Business Name | EMPOWERING INTERVENTIONS
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Dates
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Enumeration Date | 08/10/2012
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Last Update Date | 08/27/2012
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Provider Practice Location Address
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Address Line | 1050 17TH ST NW STE 800
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City | WASHINGTON
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State | DC
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Zip | 20036-5514
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Country | US
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Telephone | 617-921-6431
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Fax |
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Provider Business Mailing Address
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Address Line | 6520 BRICK HEARTH CT
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City | ALEXANDRIA
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State | VA
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Zip | 22306-3313
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Country | US
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Telephone | 703-746-8000
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PRISCILLA DASS-BRAILSFORD
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Credential | EDD
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Telephone | 617-921-6431
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | PSY1000499
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | PSY1000499
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License Number State | DC
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