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General NPI Number Information
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NPI Number | 1124618517
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Entity Type | Individual
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Provider Name | JESSICA FRENCH SMITH-O'CONNOR LGSW
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Gender | Female
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Dates
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Enumeration Date | 01/20/2021
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Last Update Date | 01/20/2021
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Provider Practice Location Address
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Address Line | 502 KENNEDY ST NW STE 2-A
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City | WASHINGTON
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State | DC
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Zip | 20011-3010
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Country | US
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Telephone | 202-743-4884
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Fax |
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Provider Business Mailing Address
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Address Line | 1238 K ST SE
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City | WASHINGTON
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State | DC
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Zip | 20003-4114
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Country | US
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Telephone | 631-681-4114
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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 | LG50083430
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License Number State | DC
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