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General NPI Number Information
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NPI Number | 1174872006
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Entity Type | Individual
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Provider Name | JOHAN ORJUELA LCSW-C
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Gender | Male
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Dates
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Enumeration Date | 09/06/2012
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 4890 BATTERY LN APT 308
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City | BETHESDA
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State | MD
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Zip | 20814-2714
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Country | US
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Telephone | 240-899-3245
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Fax |
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Provider Business Mailing Address
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Address Line | 7412 GEORGIA AVE NW #4
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City | WASHINGTON
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State | DC
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Zip | 20012-1754
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Country | US
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Telephone | 240-899-3245
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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 | 18197
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License Number State | MD
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