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General NPI Number Information
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NPI Number | 1013694256
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Entity Type | Individual
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Provider Name | EMILY JIN UNRUE MSW
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Gender | Female
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Dates
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Enumeration Date | 06/29/2023
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Last Update Date | 06/29/2023
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Provider Practice Location Address
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Address Line | 851 N GLEBE RD APT 1619
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City | ARLINGTON
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State | VA
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Zip | 22203-4160
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Country | US
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Telephone | 817-296-2310
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Fax |
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Provider Business Mailing Address
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Address Line | 851 N GLEBE RD APT 1619
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City | ARLINGTON
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State | VA
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Zip | 22203-4160
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Country | US
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Telephone | 817-296-2310
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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 | LG200002587
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License Number State | DC
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