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General NPI Number Information
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NPI Number | 1003766908
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Entity Type | Individual
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Provider Name | JORDAN ELAINE SHAW LMSW
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Gender | Female
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Dates
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Enumeration Date | 01/30/2026
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 200 I ST SE
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City | WASHINGTON
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State | DC
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Zip | 20003-3317
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Country | US
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Telephone | 202-442-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 2727 FAIRLAWN AVE SE APT 202
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City | WASHINGTON
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State | DC
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Zip | 20019-1026
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Country | US
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Telephone | 202-500-2919
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 33809
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License Number State | MD
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