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General NPI Number Information
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NPI Number | 1497629380
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Entity Type | Individual
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Provider Name | TAKIYA WELLS MCMANUS LMSW
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Gender | Female
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Dates
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Enumeration Date | 10/02/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 7863 HIDDEN CREEK WAY
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City | STONEY BEACH
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State | MD
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Zip | 21226-2120
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Country | US
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Telephone | 301-300-7278
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Fax |
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Provider Business Mailing Address
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Address Line | 7863 HIDDEN CREEK WAY
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City | STONEY BEACH
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State | MD
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Zip | 21226-2120
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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 | 21224
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License Number State | MD
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