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General NPI Number Information
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NPI Number | 1558946624
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Entity Type | Individual
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Provider Name | MIZUKI KOJIMA LICSW
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Gender | Female
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Dates
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Enumeration Date | 03/10/2021
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 2500 WISCONSIN AVENUE NW # 850
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City | WASHINGTON
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State | DC
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Zip | 20007
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Country | US
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Telephone | 202-415-8197
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 WISCONSIN AVE NW APT 850
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City | WASHINGTON
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State | DC
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Zip | 20007-4534
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Country | US
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Telephone | 202-415-8197
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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 | LC50082762
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License Number State | DC
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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 | LW61634159
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License Number State | WA
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