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General NPI Number Information
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NPI Number | 1265300115
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Entity Type | Individual
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Provider Name | BRIAN KENNETH MANSKY LMSW
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Gender | Male
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Dates
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Enumeration Date | 10/23/2025
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 10605 CONCORD ST STE 207
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City | KENSINGTON
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State | MD
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Zip | 20895-2526
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Country | US
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Telephone | 301-651-4275
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Fax | 301-231-0124
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Provider Business Mailing Address
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Address Line | PO BOX 113
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City | GARRETT PARK
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State | MD
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Zip | 20896-0113
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Country | US
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Telephone | 301-651-4275
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Fax | 301-231-0124
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 25434
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License Number State | MD
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