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General NPI Number Information
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NPI Number | 1336766740
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Entity Type | Individual
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Provider Name | EARNST ILANG-ILANG II LICSW
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Gender | Male
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Dates
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Enumeration Date | 07/01/2020
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 3400 MARTIN LUTHER KING JR AVE SE STE 300
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City | WASHINGTON
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State | DC
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Zip | 20032-1542
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Country | US
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Telephone | 202-724-7666
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Fax |
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Provider Business Mailing Address
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Address Line | 3400 MARTIN LUTHER KING JR AVE SE STE 300
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City | WASHINGTON
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State | DC
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Zip | 20032-1542
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Country | US
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Telephone | 202-724-7666
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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 | LC200004060
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | LG500883130
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License Number State | DC
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