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General NPI Number Information
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NPI Number | 1730830027
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Entity Type | Individual
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Provider Name | MS. KESHA MYERS EDELIN
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Gender | Female
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Dates
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Enumeration Date | 01/18/2022
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 650 PENNSYLVANIA AVE SE STE 440
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City | WASHINGTON
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State | DC
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Zip | 20003-4424
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Country | US
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Telephone | 202-544-5440
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Fax |
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Provider Business Mailing Address
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Address Line | 9030 HARDESTY DRIVE
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City | CLINTON
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State | MD
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Zip | 20735-4726
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Country | US
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Telephone | 301-326-3771
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PRC200012538
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License Number State | DC
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