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General NPI Number Information
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NPI Number | 1619666088
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Entity Type | Individual
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Provider Name | ALBAN CAMILO ZAMORA LGSW, LMSW
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Gender | Male
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Dates
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Enumeration Date | 05/02/2023
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Last Update Date | 05/02/2023
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Provider Practice Location Address
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Address Line | 2970 BELCREST CENTER DR UNIT 301
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City | HYATTSVILLE
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State | MD
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Zip | 20782-1987
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Country | US
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Telephone | 240-714-5247
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Fax |
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Provider Business Mailing Address
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Address Line | 2324 ASHMEAD PL NW
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City | WASHINGTON
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State | DC
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Zip | 20009-1414
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Country | US
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Telephone | 830-822-4493
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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 | 29738
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License Number State | MD
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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 | LG200002306
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License Number State | DC
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