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General NPI Number Information
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NPI Number | 1386079929
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Entity Type | Individual
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Provider Name | TAMARA INCE LICSW
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Gender | Female
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Dates
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Enumeration Date | 09/12/2013
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 1717 RHODE ISLAND AVE STE 620
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City | WASHINGTON
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State | DC
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Zip | 20036
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Country | US
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Telephone | 833-968-8255
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Fax | 888-551-5262
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Provider Business Mailing Address
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Address Line | 1629 K ST NW STE 300
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City | WASHINGTON
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State | DC
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Zip | 20006-1631
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Country | US
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Telephone | 202-553-8325
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Fax | 888-551-5262
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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 | 15643
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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 | 0904008551
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC50079905
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License Number State | DC
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