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General NPI Number Information
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NPI Number | 1164703146
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Entity Type | Individual
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Provider Name | MONIFA S JEFFREY-RIGGINS MSW, LCSWC
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Gender | Female
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Dates
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Enumeration Date | 09/02/2011
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Last Update Date | 06/25/2015
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Provider Practice Location Address
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Address Line | 512 ORCHARD ST
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City | BALTIMORE
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State | MD
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Zip | 21201-1947
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Country | US
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Telephone | 443-845-3514
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Fax |
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Provider Business Mailing Address
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Address Line | 5730 COTTONWORTH AVE UNIT 5389
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City | BALTIMORE
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State | MD
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Zip | 21209-7500
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Country | US
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Telephone | 443-845-3514
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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 | 12392
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License Number State | MD
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