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General NPI Number Information
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NPI Number | 1619133311
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Entity Type | Individual
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Provider Name | ALDO U HURTADO LICSW
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Gender | Male
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Dates
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Enumeration Date | 08/01/2008
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Last Update Date | 08/01/2008
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Provider Practice Location Address
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Address Line | 1375 KENYON ST NW #212
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City | WASHINGTON
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State | DC
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Zip | 20010-2398
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Country | US
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Telephone | 202-319-2355
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Fax |
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Provider Business Mailing Address
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Address Line | 1315 CONSTITUTION AVE NE #3
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City | WASHINGTON
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State | DC
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Zip | 20002-6419
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Country | US
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Telephone | 301-755-7569
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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 | LC50078267
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License Number State | DC
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