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General NPI Number Information
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NPI Number | 1588193437
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Entity Type | Individual
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Provider Name | HEATHER ANN SAND LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 06/05/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 1501 S CLINTON STREET MAILSTOP CT 05-13
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City | BALTIMORE
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State | MD
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Zip | 21224
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Country | US
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Telephone | 757-285-9933
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Fax |
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Provider Business Mailing Address
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Address Line | 1501 S CLINTON STREET MAILSTOP CT 05-13
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City | BALTIMORE
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State | MD
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Zip | 21224
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Country | US
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Telephone | 443-904-1734
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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 | 22559
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License Number State | MD
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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 | 0904008200
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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