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General NPI Number Information
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NPI Number | 1760685002
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Entity Type | Individual
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Provider Name | LILIAN ROSENBAUM LCSW C PHD
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Gender | Female
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6935 WISCONSIN AVE SUITE #206
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City | CHEVY CHASE
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State | MD
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Zip | 20815-6109
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Country | US
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Telephone | 301-907-9664
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Fax | 301-340-8958
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Provider Business Mailing Address
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Address Line | 180 NEW MARK ESPLANADE
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City | ROCKVILLE
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State | MD
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Zip | 20850-2732
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Country | US
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Telephone | 301-907-9664
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Fax | 301-340-8958
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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 | 301092
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License Number State | DC
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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 | 00465
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License Number State | MD
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