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General NPI Number Information
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NPI Number | 1013307933
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Entity Type | Individual
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Provider Name | RENEA SLAUGHTER LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/30/2015
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Last Update Date | 11/08/2023
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Provider Practice Location Address
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Address Line | 5000 THAYER CTR STE C
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City | OAKLAND
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State | MD
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Zip | 21550-1139
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Country | US
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Telephone | 703-718-6811
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Fax |
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Provider Business Mailing Address
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Address Line | 2957 FESTIVAL WAY STE 123
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City | WALDORF
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State | MD
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Zip | 20601-2959
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Country | US
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Telephone | 803-422-4892
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC200001507
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 28095
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904011327
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C008747
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License Number State | NC
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