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General NPI Number Information
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NPI Number | 1326236480
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Entity Type | Individual
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Provider Name | MONICA LEIGH HAMMOCK LICSW
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Gender | Female
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Dates
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Enumeration Date | 10/13/2007
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Last Update Date | 03/05/2019
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Provider Practice Location Address
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Address Line | 4545 42ND ST NW STE 201
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City | WASHINGTON
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State | DC
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Zip | 20016-4623
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Country | US
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Telephone | 202-656-3438
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Fax | 877-538-5940
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Provider Business Mailing Address
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Address Line | 1845 INGLESIDE TER NW
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City | WASHINGTON
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State | DC
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Zip | 20010-1009
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Country | US
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Telephone | 202-361-2350
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Fax | 877-538-5940
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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 | 12728
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License Number State | MD
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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 | LC50077967
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License Number State | DC
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