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General NPI Number Information
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NPI Number | 1659466191
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Entity Type | Individual
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Provider Name | KEVIN ALLEN CECKOWSKI SW LICSW
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Gender | Male
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | WARD 48 NEPHROLOGY TRANSPLANT CLINIC WALTER REED ARMY 6900 GEORGIA AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20307-5001
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Country | US
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Telephone | 202-782-6565
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Fax |
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Provider Business Mailing Address
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Address Line | 2560 NORTH VERMONT ST
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City | ARLINGTON
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State | VA
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Zip | 22207
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Country | US
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Telephone | 703-469-2124
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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 | LC302639
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License Number State | DC
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