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General NPI Number Information
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NPI Number | 1669096640
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Entity Type | Individual
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Provider Name | JANE GREENBERG LMSW, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 06/04/2020
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Last Update Date | 06/04/2020
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Provider Practice Location Address
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Address Line | 8700 GEORGIA AVE STE 404
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City | SILVER SPRING
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State | MD
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Zip | 20910-3605
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Country | US
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Telephone | 919-260-4329
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Fax |
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Provider Business Mailing Address
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Address Line | 5015 BATTERY LN APT 905
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City | BETHESDA
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State | MD
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Zip | 20814-2625
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Country | US
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Telephone | 919-260-4329
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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 | 25971
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License Number State | MD
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