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General NPI Number Information
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NPI Number | 1679257851
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Entity Type | Individual
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Provider Name | JANE KEADY LMSW/LGSW
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Gender | Female
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Dates
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Enumeration Date | 06/09/2023
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 211 N UNION ST STE 100
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City | ALEXANDRIA
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State | VA
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Zip | 22314-2643
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Country | US
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Telephone | 703-718-6844
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Fax | 877-447-1027
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Provider Business Mailing Address
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Address Line | 211 N UNION ST STE 100
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City | ALEXANDRIA
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State | VA
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Zip | 22314-2643
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Country | US
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Telephone | 703-718-6844
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Fax | 877-447-1027
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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 | LG200002858
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 0903004349
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 32173
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License Number State | MD
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