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General NPI Number Information
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NPI Number | 1417620477
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Entity Type | Individual
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Provider Name | ELIZABETH SARAH JUNKER LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 07/27/2021
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 6264 MONTROSE RD
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City | NORTH BETHESDA
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State | MD
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Zip | 20852-4119
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Country | US
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Telephone | 240-242-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 1111B S GOVERNORS AVE UNIT 2788
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City | DOVER
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State | DE
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Zip | 19904-6903
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Country | US
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Telephone | 240-671-0250
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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 | 27465
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License Number State | MD
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