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General NPI Number Information
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NPI Number | 1285806240
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Entity Type | Individual
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Provider Name | CAROLYN JANET HANSEN L.C.S.W.-C.
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Gender | Female
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Dates
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Enumeration Date | 03/31/2008
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Last Update Date | 03/31/2008
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Provider Practice Location Address
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Address Line | 4400 E WEST HWY SUITE 28
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City | BETHESDA
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State | MD
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Zip | 20814-4524
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Country | US
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Telephone | 301-986-1479
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Fax | 301-986-7805
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Provider Business Mailing Address
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Address Line | 8836 BAY AVE. P.O. BOX 25
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City | NORTH BEACH
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State | MD
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Zip | 20714-0025
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Country | US
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Telephone | 301-625-8414
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Fax | 202-315-3417
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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 | 06500
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License Number State | MD
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