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General NPI Number Information
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NPI Number | 1073136867
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Entity Type | Individual
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Provider Name | TERRANCE LEE YORK LGSW
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Gender | Male
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Dates
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Enumeration Date | 05/27/2020
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 2000 P ST NW
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City | WASHINGTON
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State | DC
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Zip | 20036-5915
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Country | US
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Telephone | 410-961-7192
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Fax |
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Provider Business Mailing Address
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Address Line | 6 CHARLOTTE ST
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City | HAMLET
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State | NC
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Zip | 28345-2739
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Country | US
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Telephone | 202-451-1597
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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 | LG50083221
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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 | LC200001952
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License Number State | DC
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