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General NPI Number Information
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NPI Number | 1245866136
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Entity Type | Individual
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Provider Name | C. ANDREW CONWAY MSW, PHD
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Gender | Male
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Dates
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Enumeration Date | 03/23/2020
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Last Update Date | 12/21/2023
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Provider Practice Location Address
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Address Line | 8120 WOODMONT AVE STE 960
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City | BETHESDA
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State | MD
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Zip | 20814-2775
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Country | US
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Telephone | 301-960-3955
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Fax |
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Provider Business Mailing Address
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Address Line | 804 PERSHING DR STE 4
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City | SILVER SPRING
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State | MD
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Zip | 20910-4436
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Country | US
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Telephone | 240-630-0423
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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 | 17966
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License Number State | MD
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