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General NPI Number Information
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NPI Number | 1508205832
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Entity Type | Individual
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Provider Name | ALLISON SPANGLER CHAN LICSW
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Gender | Female
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Dates
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Enumeration Date | 06/19/2013
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Last Update Date | 06/06/2023
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Provider Practice Location Address
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Address Line | 1438 RHODE ISLAND AVE NE
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City | WASHINGTON
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State | DC
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Zip | 20018-3709
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Country | US
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Telephone | 202-543-3217
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Fax |
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Provider Business Mailing Address
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Address Line | 12893 CLARKSBURG SQUARE RD
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City | CLARKSBURG
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State | MD
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Zip | 20871-4342
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Country | US
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Telephone | 336-655-3555
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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 | 16531
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC50079652
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License Number State | DC
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