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General NPI Number Information
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NPI Number | 1528592896
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Entity Type | Individual
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Provider Name | DARLENA AUSTIN LGSW
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Gender | Female
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Dates
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Enumeration Date | 04/13/2017
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Last Update Date | 04/13/2017
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Provider Practice Location Address
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Address Line | 5310 EXETER PLACE
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City | WHITE PLAINS
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State | MD
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Zip | 20695
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Country | US
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Telephone | 301-778-4127
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Fax |
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Provider Business Mailing Address
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Address Line | 30537 POTOMAC WAY SUITE 102
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City | CHARLOTTE HALL
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State | MD
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Zip | 20622-3179
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Country | US
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Telephone | 301-778-4127
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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 | 18639
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License Number State | MD
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