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General NPI Number Information
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NPI Number | 1316828130
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Entity Type | Individual
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Provider Name | CARTER CAMPBELL TIPTON LMSW
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Gender | Male
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Dates
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Enumeration Date | 09/09/2025
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 1445 RESEARCH BLVD STE 100
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City | ROCKVILLE
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State | MD
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Zip | 20850-6130
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Country | US
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Telephone | 240-552-5808
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Fax |
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Provider Business Mailing Address
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Address Line | 34 FREEMONT AVE
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City | TAKOMA PARK
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State | MD
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Zip | 20912-5730
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Country | US
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Telephone | 301-219-6398
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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 | 33741
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License Number State | MD
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