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General NPI Number Information
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NPI Number | 1689798977
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Entity Type | Individual
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Provider Name | CHRISTINA V HALL LICSW, LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 5335 WISCONSIN AVE NW STE 440
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City | WASHINGTON
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State | DC
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Zip | 20015-2079
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Country | US
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Telephone | 202-494-9593
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 61304
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City | POTOMAC
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State | MD
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Zip | 20859-1304
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Country | US
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Telephone | 202-494-9593
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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 | 11215
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License Number State | MD
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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 | LC303649
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License Number State | DC
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