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General NPI Number Information
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NPI Number | 1689219982
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Entity Type | Individual
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Provider Name | FLORENCE MARIE HERNDON LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 11/10/2019
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Last Update Date | 11/10/2019
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Provider Practice Location Address
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Address Line | 601 POST OFFICE RD STE 2D
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City | WALDORF
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State | MD
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Zip | 20602-1912
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Country | US
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Telephone | 301-848-0461
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Fax | 301-885-0922
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Provider Business Mailing Address
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Address Line | 4542 CAVALIER CT
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City | WHITE PLAINS
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State | MD
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Zip | 20695-4403
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Country | US
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Telephone | 301-638-3554
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Fax | 301-638-3554
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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 | 19914
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License Number State | MD
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