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General NPI Number Information
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NPI Number | 1194991562
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Entity Type | Organization
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Legal Business Name | LAILA EL-ASMAR LLC
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Dates
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Enumeration Date | 05/05/2008
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Last Update Date | 05/05/2008
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Provider Practice Location Address
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Address Line | 7910 WOODMONT AVE SUITE 460
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City | BETHESDA
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State | MD
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Zip | 20814-3002
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Country | US
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Telephone | 301-656-9520
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Fax | 301-718-3633
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Provider Business Mailing Address
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Address Line | 1140 23RD ST NW APT 1003
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City | WASHINGTON
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State | DC
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Zip | 20037-1437
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Country | US
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Telephone | 202-257-7545
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Fax | 301-718-3633
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | MRS. LAILA EL-ASMAR
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Credential | LCSW-C
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Telephone | 301-656-9520
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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 | 12920
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License Number State | MD
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