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General NPI Number Information
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NPI Number | 1093682346
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Entity Type | Individual
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Provider Name | TASHANA PULLIAM LMSW, LGSW
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Gender | Female
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Dates
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Enumeration Date | 10/21/2025
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 3999 8TH ST SE
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City | WASHINGTON
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State | DC
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Zip | 20032-3734
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Country | US
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Telephone | 202-540-0926
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Fax |
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Provider Business Mailing Address
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Address Line | 3708 3RD ST S
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City | ARLINGTON
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State | VA
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Zip | 22204-1637
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Country | US
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Telephone | 814-746-8785
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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 | LG200004212
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License Number State | DC
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