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General NPI Number Information
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NPI Number | 1578401139
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Entity Type | Individual
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Provider Name | JULIAN KYLE SMITH LCSW-C, LICSW
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Gender | Male
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Dates
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Enumeration Date | 03/24/2026
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Last Update Date | 03/24/2026
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Provider Practice Location Address
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Address Line | 7100 WHITTIER BLVD
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City | BETHESDA
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State | MD
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Zip | 20817-6199
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Country | US
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Telephone | 240-740-4820
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Fax |
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Provider Business Mailing Address
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Address Line | 14611 KING LEAR CT
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City | SILVER SPRING
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State | MD
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Zip | 20906-2657
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Country | US
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Telephone | 240-731-8468
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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 | LC200001991
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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 | 28476
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License Number State | MD
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