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General NPI Number Information
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NPI Number | 1578417333
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Entity Type | Individual
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Provider Name | VICTORIA Y WILSON
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Gender | Female
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Dates
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Enumeration Date | 02/26/2026
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Last Update Date | 02/26/2026
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Provider Practice Location Address
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Address Line | 4350 E WEST HWY STE 200
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City | BETHESDA
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State | MD
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Zip | 20814-4426
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Country | US
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Telephone | 301-970-4001
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Fax |
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Provider Business Mailing Address
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Address Line | 7505 BLAIR RD APT 303
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City | TAKOMA PARK
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State | MD
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Zip | 20912-4025
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Country | US
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Telephone | 202-344-5877
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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 | LG200002971
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 32066
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License Number State | MD
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