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General NPI Number Information
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NPI Number | 1407070899
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Entity Type | Individual
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Provider Name | STEPHEN A ROSZEL LGSW
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Gender | Male
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1901 D ST SE
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City | WASHINGTON
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State | DC
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Zip | 20003-2534
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Country | US
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Telephone | 202-698-0447
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Fax |
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Provider Business Mailing Address
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Address Line | 1603 FITZGERALD LN
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City | ALEXANDRIA
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State | VA
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Zip | 22302-2004
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Country | US
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Telephone | 540-538-5732
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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 | LG50078338
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License Number State | DC
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