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General NPI Number Information
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NPI Number | 1518883891
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Entity Type | Individual
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Provider Name | NATHANIEL ALTON LMSW
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Gender | Male
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 06/30/2026
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Provider Practice Location Address
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Address Line | 10400 LITTLE PATUXENT PKWY STE 305
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City | COLUMBIA
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State | MD
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Zip | 21044-3518
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Country | US
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Telephone | 410-210-4098
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Fax |
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Provider Business Mailing Address
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Address Line | 2052 DERBY RIDGE LN
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City | SILVER SPRING
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State | MD
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Zip | 20910-2650
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Country | US
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Telephone | 240-687-7216
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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 | 35054
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License Number State | MD
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