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General NPI Number Information
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NPI Number | 1427174507
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Entity Type | Individual
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Provider Name | VALERIE RAINON MCMANUS LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 11/01/2012
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Provider Practice Location Address
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Address Line | 3691 PARK AVE SUITE 3
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City | ELLICOTT CITY
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State | MD
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Zip | 21043-4783
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Country | US
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Telephone | 410-465-8687
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Fax |
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Provider Business Mailing Address
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Address Line | 4237 DANCING SUNBEAM CT SUITE 100
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City | ELLICOTT CITY
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State | MD
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Zip | 21042-5923
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Country | US
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Telephone | 410-465-2375
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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 | 11529
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License Number State | MD
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