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General NPI Number Information
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NPI Number | 1568841591
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Entity Type | Individual
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Provider Name | DANA THOMPSON
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Gender | Female
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Dates
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Enumeration Date | 05/22/2015
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Last Update Date | 05/22/2015
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Provider Practice Location Address
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Address Line | 4310 HUNT PLACE NE
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City | WASHINGTON
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State | DC
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Zip | 20019-3565
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Country | US
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Telephone | 202-388-4300
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Fax | 202-388-4333
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Provider Business Mailing Address
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Address Line | 16702 FEDERAL HILL CT
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City | BOWIE
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State | MD
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Zip | 20716-3506
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Country | US
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Telephone | 301-741-8840
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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 | LG50081098
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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 | 20036
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License Number State | MD
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