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General NPI Number Information
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NPI Number | 1225528573
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Entity Type | Organization
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Legal Business Name | KATRIN J HALLER MSW LCSWC LLC
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Dates
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Enumeration Date | 05/12/2018
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Last Update Date | 12/17/2018
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Provider Practice Location Address
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Address Line | 2 WISCONSIN CIR STE 915
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City | CHEVY CHASE
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State | MD
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Zip | 20815-7036
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Country | US
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Telephone | 240-464-5064
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Fax |
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Provider Business Mailing Address
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Address Line | 2 WISCONSIN CIR STE 915
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City | CHEVY CHASE
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State | MD
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Zip | 20815-7036
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Country | US
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Telephone | 240-464-5064
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Fax |
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Authorized Official
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Title or Position | LCSWC
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Name | KATRIN HALLER
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Credential |
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Telephone | 240-464-5064
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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 | 17423
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License Number State | MD
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