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General NPI Number Information
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NPI Number | 1497720031
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Entity Type | Individual
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Provider Name | LORRAINE NONE WASHINGTON LSWA
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Gender | Female
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Dates
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Enumeration Date | 02/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1407 S ST NW
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City | WASHINGTON
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State | DC
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Zip | 20009-3819
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Country | US
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Telephone | 202-797-4425
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Fax | 202-797-4426
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Provider Business Mailing Address
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Address Line | 6700 LAKE PARK DR 102
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City | GREENBELT
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State | MD
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Zip | 20770-3071
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Country | US
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Telephone | 202-939-7634
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Fax | 202-939-7659
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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 | LA114
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License Number State | DC
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