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NPI 1366990939

NPI 1366990939 : HANNAH KOLODNER M.S.W., L.G.S.W. : WASHINGTON, DC

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General NPI Number Information
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    NPI Number           |    1366990939
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    Entity Type          |    Individual 
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    Provider Name        |    HANNAH KOLODNER M.S.W., L.G.S.W.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/13/2016
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    Last Update Date     |    09/13/2016
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Provider Practice Location Address
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    Address Line         |    5901 UTAH AVE NW 
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    City                 |    WASHINGTON
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    State                |    DC
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    Zip                  |    20015-1616
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    Country              |    US
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    Telephone            |    202-363-1333
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5901 UTAH AVE NW 
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    City                 |    WASHINGTON
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    State                |    DC
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    Zip                  |    20015-1616
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    Country              |    US
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    Telephone            |    202-363-1333
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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       |    LG50081785
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    License Number State |    DC
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