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General NPI Number Information
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NPI Number | 1326813379
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Entity Type | Individual
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Provider Name | REBECCA WOODWARD LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 11/20/2023
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Last Update Date | 11/20/2023
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Provider Practice Location Address
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Address Line | 1921 LANSDOWNE RD
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City | HALETHORPE
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State | MD
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Zip | 21227-1707
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Country | US
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Telephone | 443-521-5707
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Fax |
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Provider Business Mailing Address
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Address Line | 810 S ROSE ST
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City | BALTIMORE
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State | MD
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Zip | 21224-3739
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Country | US
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Telephone | 443-521-5707
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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 | 26210
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License Number State | MD
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