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General NPI Number Information
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NPI Number | 1558494070
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Entity Type | Individual
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Provider Name | ELANA BENATAR LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 11/26/2012
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Provider Practice Location Address
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Address Line | 10000 COLESVILLE RD.
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City | SILVER SPRING
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State | MD
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Zip | 20901
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Country | US
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Telephone | 202-276-1594
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Fax |
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Provider Business Mailing Address
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Address Line | 10000 COLESVILLE RD.
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City | SILVER SPRING
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State | MD
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Zip | 20901
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Country | US
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Telephone | 202-276-1594
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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 | 150-010728
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License Number State | IL
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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 | 149-013051
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 17790
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License Number State | MD
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