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General NPI Number Information
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NPI Number | 1669190146
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Entity Type | Individual
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Provider Name | CASEY ELIZABETH ALLEN LMSW
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Gender | Female
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Dates
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Enumeration Date | 08/19/2022
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Last Update Date | 08/19/2022
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Provider Practice Location Address
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Address Line | 855 BRIGHTSEAT RD STE 855
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City | LANDOVER
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State | MD
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Zip | 20785-4740
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Country | US
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Telephone | 301-881-0078
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Fax |
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Provider Business Mailing Address
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Address Line | 1410 N SCOTT ST APT 365
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City | ARLINGTON
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State | VA
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Zip | 22209-2976
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Country | US
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Telephone | 480-263-2174
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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 | 28968
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License Number State | MD
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