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General NPI Number Information
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NPI Number | 1235483249
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Entity Type | Individual
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Provider Name | REBECCA K RAGGIO LCSWC
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Gender | Female
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Dates
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Enumeration Date | 10/30/2012
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Last Update Date | 10/30/2012
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Provider Practice Location Address
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Address Line | 45 OLD SOLOMON'S ROAD SUITE 204
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City | ANNAPOLIS
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State | MD
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Zip | 21401
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Country | US
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Telephone | 410-571-8341
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Fax | 410-571-8368
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Provider Business Mailing Address
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Address Line | 4523 FALLS ROAD
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City | BALTIMORE
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State | MD
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Zip | 21209
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Country | US
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Telephone | 410-366-1980
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Fax | 410-366-8530
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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 | 15999
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License Number State | MD
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