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General NPI Number Information
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NPI Number | 1629631692
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Entity Type | Individual
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Provider Name | MS. GABRIELLE MCCRANEY
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Gender | Female
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Dates
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Enumeration Date | 04/16/2019
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Last Update Date | 04/16/2019
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Provider Practice Location Address
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Address Line | 2918 MINNESOTA AVE SE
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City | WASHINGTON
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State | DC
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Zip | 20019-1127
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Country | US
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Telephone | 202-808-2716
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Fax |
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Provider Business Mailing Address
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Address Line | 4501 CLERMONT DR NE APT 103
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City | WASHINGTON
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State | DC
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Zip | 20011-4948
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Country | US
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Telephone | 985-507-0247
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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 | LG50082181
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License Number State | DC
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