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General NPI Number Information
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NPI Number | 1306624663
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Entity Type | Individual
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Provider Name | STEPHANIE O'BRIEN MSW, LGSW
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Gender | Female
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Dates
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Enumeration Date | 09/18/2023
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Last Update Date | 09/18/2023
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Provider Practice Location Address
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Address Line | 1718 CONNECTICUT AVE NW STE 201
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City | WASHINGTON
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State | DC
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Zip | 20009-1148
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Country | US
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Telephone | 202-596-9806
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Fax |
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Provider Business Mailing Address
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Address Line | 909 G ST SE
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City | WASHINGTON
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State | DC
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Zip | 20003-2819
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Country | US
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Telephone | 617-538-2184
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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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 | LG200001725
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License Number State | DC
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