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General NPI Number Information
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NPI Number | 1669344198
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Entity Type | Individual
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Provider Name | THOMAS WASHINGTON II LCSWA
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Gender | Male
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Dates
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Enumeration Date | 09/23/2025
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 2829 ARLINGTON AVE
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City | FAYETTEVILLE
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State | NC
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Zip | 28303-5403
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Country | US
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Telephone | 910-656-8019
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Fax | 910-676-8009
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Provider Business Mailing Address
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Address Line | 108 BARNSBURY CT
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City | RAEFORD
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State | NC
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Zip | 28376-7905
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Country | US
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Telephone | 910-709-4606
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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 | P022386
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License Number State | NC
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