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General NPI Number Information
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NPI Number | 1285108043
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Entity Type | Individual
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Provider Name | RENICE L WILEY-HOLMES
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Gender | Female
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Dates
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Enumeration Date | 01/15/2019
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 6139 OXON HILL RD # 1195
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City | OXON HILL
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State | MD
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Zip | 20745-3108
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Country | US
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Telephone | 973-259-6082
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Fax |
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Provider Business Mailing Address
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Address Line | 6139 OXON HILL RD # 1195
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City | OXON HILL
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State | MD
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Zip | 20745-3108
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Country | US
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Telephone | 973-259-6082
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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 | 32511
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC06164100
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904015415
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 093602
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC200002524
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License Number State | DC
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