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General NPI Number Information
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NPI Number | 1437950870
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Entity Type | Individual
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Provider Name | LIUBOV GRITSUNOV LGSW
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Gender | Female
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Dates
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Enumeration Date | 03/21/2025
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 4000 ALBEMARLE ST NW STE 5005TH
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City | WASHINGTON
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State | DC
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Zip | 20016-1851
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Country | US
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Telephone | 202-531-5385
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Fax |
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Provider Business Mailing Address
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Address Line | 202 FLORIDA AVE NE APT 1409
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City | WASHINGTON
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State | DC
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Zip | 20002-9048
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Country | US
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Telephone | 201-621-2196
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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 | LG200002987
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License Number State | DC
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