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General NPI Number Information
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NPI Number | 1386250066
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Entity Type | Individual
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Provider Name | HERMIONE CHARLERON LGSW
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Gender | Female
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Dates
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Enumeration Date | 09/18/2020
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Last Update Date | 09/18/2020
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Provider Practice Location Address
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Address Line | 500 INDIANA AVE NW STE 1230
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City | WASHINGTON
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State | DC
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Zip | 20001-2131
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Country | US
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Telephone | 202-879-1923
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Fax |
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Provider Business Mailing Address
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Address Line | 3335 HAMPTON POINT DR APT D
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City | SILVER SPRING
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State | MD
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Zip | 20904-4881
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Country | US
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Telephone |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | LG50083211
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License Number State | DC
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