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General NPI Number Information
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NPI Number | 1023209665
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Entity Type | Individual
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Provider Name | LINDA ELLEN BLACKMAN L,C.S.W.-C
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Gender | Female
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Dates
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Enumeration Date | 08/08/2007
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Last Update Date | 08/08/2007
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Provider Practice Location Address
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Address Line | 5225 POOKS HILL RD SUITE 4
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City | BETHESDA
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State | MD
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Zip | 20814-2052
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Country | US
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Telephone | 301-530-3505
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Fax |
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Provider Business Mailing Address
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Address Line | 7112 FAIRFAX RD
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City | BETHESDA
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State | MD
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Zip | 20814-1235
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Country | US
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Telephone | 301-530-3505
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 03623
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License Number State | MD
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