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General NPI Number Information
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NPI Number | 1306532528
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Entity Type | Individual
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Provider Name | LOURDES G CARAZO
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Gender | Female
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Dates
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Enumeration Date | 04/12/2023
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 508 KENNEDY ST NW
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City | WASHINGTON
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State | DC
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Zip | 20011-3137
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Country | US
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Telephone | 202-223-9630
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Fax |
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Provider Business Mailing Address
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Address Line | 3958 9TH RD S
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City | ARLINGTON
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State | VA
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Zip | 22204-4172
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Country | US
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Telephone | 571-303-8494
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | CACII1090
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CACII1090
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License Number State | DC
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