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General NPI Number Information
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NPI Number | 1376874487
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Entity Type | Individual
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Provider Name | VICKI ALLEN MSW
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Gender | Female
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Dates
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Enumeration Date | 01/29/2010
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Last Update Date | 01/29/2010
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Provider Practice Location Address
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Address Line | 10401 OLD GEORGETOWN RD 208
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City | BETHESDA
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State | MD
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Zip | 20814-1911
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Country | US
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Telephone | 301-493-9801
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Fax |
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Provider Business Mailing Address
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Address Line | 1503 MILESTONE DR
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City | SILVER SPRING
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State | MD
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Zip | 20904-2738
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Country | US
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Telephone | 301-622-2237
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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 | 04430
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License Number State | MD
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