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General NPI Number Information
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NPI Number | 1669695334
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Entity Type | Individual
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Provider Name | HAROLD M GRAVES III LCSW-C
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Gender | Male
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 604 S. FREDERICK ROAD #213
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City | GAITHERSBURG
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State | MD
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Zip | 20877-1282
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Country | US
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Telephone | 301-424-3480
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Fax | 410-334-6960
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Provider Business Mailing Address
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Address Line | 23524 ROLLING FORK WAY
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City | GAITHERSBURG
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State | MD
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Zip | 20882-2838
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Country | US
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Telephone | 443-397-7767
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Fax | 410-334-6960
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | MD10165
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License Number State | MD
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