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General NPI Number Information
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NPI Number | 1710569892
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Entity Type | Individual
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Provider Name | JESSICA GELFARB LICSW
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Gender | Female
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Dates
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Enumeration Date | 04/27/2021
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Last Update Date | 07/25/2022
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Provider Practice Location Address
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Address Line | 2150 PENNSYLVANIA AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20037-3201
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Country | US
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Telephone | 202-741-2769
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Fax |
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Provider Business Mailing Address
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Address Line | 7707 WISCONSIN AVE APT 822
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City | BETHESDA
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State | MD
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Zip | 20814-6554
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Country | US
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Telephone | 301-335-2705
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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 |
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License Number State |
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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 | LC50082344
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License Number State | DC
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