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General NPI Number Information
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NPI Number | 1588148811
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Entity Type | Individual
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Provider Name | KAROLYNN F COLEMAN
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Gender | Female
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Dates
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Enumeration Date | 09/22/2018
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Last Update Date | 09/22/2018
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Provider Practice Location Address
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Address Line | 4405 E WEST HWY STE 410
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City | BETHESDA
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State | MD
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Zip | 20814-4535
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Country | US
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Telephone | 240-350-3541
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Fax |
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Provider Business Mailing Address
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Address Line | 5710 WARWICK PL
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City | CHEVY CHASE
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State | MD
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Zip | 20815-5502
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Country | US
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Telephone | 240-350-3541
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Fax | 301-951-2632
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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 | 105772-SW-LICSW
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License Number State | MA
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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 | 10783
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License Number State | MD
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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 | LCSW5051
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC3000807
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License Number State | DC
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