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General NPI Number Information
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NPI Number | 1689286791
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Entity Type | Individual
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Provider Name | RHIANNON GRUPPUSO LCSWC
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Gender | Female
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Dates
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Enumeration Date | 08/19/2020
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Last Update Date | 12/02/2022
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Provider Practice Location Address
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Address Line | 1298 BAY DALE DR STE 211
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City | ARNOLD
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State | MD
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Zip | 21012-2815
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Country | US
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Telephone | 443-906-3732
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Fax | 443-782-3478
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Provider Business Mailing Address
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Address Line | 1298 BAY DALE DR STE 211
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City | ARNOLD
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State | MD
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Zip | 21012-2815
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Country | US
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Telephone | 315-704-9098
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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 | 23464
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License Number State | MD
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