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General NPI Number Information
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NPI Number | 1609190727
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Entity Type | Individual
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Provider Name | DESPINA HANGEMANOLE LCSW-C, MAC
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Gender | Female
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Dates
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Enumeration Date | 03/18/2010
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 2801 WISCONSIN AVE
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City | BETHESDA
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State | MD
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Zip | 20889-0003
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Country | US
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Telephone | 301-400-1298
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Fax | 202-782-7589
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Provider Business Mailing Address
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Address Line | 8901 WISCONSIN AVE
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City | BETHESDA
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State | MD
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Zip | 20889-0004
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Country | US
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Telephone | 301-400-1298
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Fax | 301-319-8630
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | G13148
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 16911
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License Number State | MD
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