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General NPI Number Information
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NPI Number | 1700039047
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Entity Type | Individual
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Provider Name | MS. CHERYL OWENS SUMNER
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Gender | Female
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Dates
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Enumeration Date | 10/30/2008
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Last Update Date | 10/30/2008
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Provider Practice Location Address
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Address Line | 8401 CONNECTICUT AVE 3RD FLOOR
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City | CHEVY CHASE
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State | MD
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Zip | 20815-5803
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Country | US
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Telephone | 301-951-0741
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Fax |
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Provider Business Mailing Address
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Address Line | 3521 PINEY WOODS PL APT F102
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City | LAUREL
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State | MD
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Zip | 20724-5990
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Country | US
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Telephone | 301-704-1477
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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 | 10982
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License Number State | MD
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