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General NPI Number Information
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NPI Number | 1285861765
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Entity Type | Individual
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Provider Name | ELLEN CECELIA FREEMAN MSW
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Gender | Female
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Dates
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Enumeration Date | 06/11/2009
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Last Update Date | 06/11/2009
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Provider Practice Location Address
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Address Line | 411 OAK ST. STERLING MEDICAL ASSOCIATES
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City | CINCINNATI
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State | OH
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Zip | 45210
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Country | US
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Telephone | 800-852-5678
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Fax | 513-984-4909
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Provider Business Mailing Address
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Address Line | 2744 KEATING ST
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City | TEMPLE HILLS
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State | MD
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Zip | 20748-1512
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Country | US
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Telephone | 301-423-2958
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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 | LC302472
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License Number State | DC
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