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General NPI Number Information
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NPI Number | 1992965552
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Entity Type | Organization
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Legal Business Name | CAPITOLHILL CONSORTIUM FOR COUNSELING & CONSULTATION, LLC
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Dates
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Enumeration Date | 06/16/2008
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 650 PENNSYLVANIA AVE SE STE 440
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City | WASHINGTON
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State | DC
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Zip | 20003-4424
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Country | US
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Telephone | 202-544-5440
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Fax | 202-544-3004
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Provider Business Mailing Address
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Address Line | 650 PENNSYLVANIA AVE SE STE 440
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City | WASHINGTON
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State | DC
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Zip | 20003-4424
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Country | US
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Telephone | 202-544-5440
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Fax | 202-544-3004
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Authorized Official
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Title or Position | BUSINESS DIRECTOR
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Name | MR. WILLIAM RICE
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Credential |
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Telephone | 202-674-1227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY1526
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License Number State | DC
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Taxonomy #2
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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 |
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License Number State |
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