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General NPI Number Information
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NPI Number | 1770529869
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Entity Type | Organization
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Legal Business Name | AGING NETWORK SERVICES, LLC
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 08/30/2023
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Provider Practice Location Address
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Address Line | 7910 WOODMONT AVE STE 630
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City | BETHESDA
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State | MD
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Zip | 20814-7089
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Country | US
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Telephone | 301-657-4329
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Fax | 301-657-3250
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Provider Business Mailing Address
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Address Line | 7910 WOODMONT AVE STE 630
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City | BETHESDA
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State | MD
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Zip | 20814-7089
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Country | US
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Telephone | 301-657-4329
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Fax | 301-657-3250
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Authorized Official
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Title or Position | OWNER
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Name | ALISON N CARELLI
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Credential | LCSW-C
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Telephone | 301-657-4329
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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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