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General NPI Number Information
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NPI Number | 1134719404
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Entity Type | Individual
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Provider Name | MS. JULIA ELIZABETH KASSMAN
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Gender | Female
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Dates
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Enumeration Date | 01/21/2021
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 6509 EVENING SHADOWS CT
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City | CLARKSVILLE
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State | MD
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Zip | 21029-1543
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Country | US
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Telephone | 443-878-7217
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Fax | --
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Provider Business Mailing Address
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Address Line | 6509 EVENING SHADOWS CT
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City | CLARKSVILLE
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State | MD
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Zip | 21029-1543
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Country | US
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Telephone | 443-878-7217
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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 | 0904017952
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License Number State | VA
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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 | CSW.09927644
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License Number State | CO
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