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General NPI Number Information
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NPI Number | 1114397767
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Entity Type | Individual
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Provider Name | EARLENE KIMBERLY DUNBAR LICSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/25/2015
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Last Update Date | 01/18/2022
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Provider Practice Location Address
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Address Line | 64 NEW YORK AVE NE FL 3
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City | WASHINGTON
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State | DC
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Zip | 20002-3328
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Country | US
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Telephone | 202-809-5471
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Fax |
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Provider Business Mailing Address
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Address Line | 227 W 4TH ST SUITE 228
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City | CHARLOTTE
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State | NC
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Zip | 28202-1545
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Country | US
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Telephone | 704-606-8193
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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 | LC50080405
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License Number State | DC
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