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General NPI Number Information
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NPI Number | 1790787471
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Entity Type | Individual
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Provider Name | SUSAN KAYE QUINN LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 08/12/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | NATIONAL NAVAL MEDICAL CENTER BLDG 10, ROOM 4132
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City | BETHESDA
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State | MD
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Zip | 20889-0001
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Country | US
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Telephone | 301-295-5925
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Fax | 301-295-0003
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Provider Business Mailing Address
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Address Line | NATIONAL NAVAL MEDICAL CENTER BLDG 10, ROOM 4132
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City | BETHESDA
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State | MD
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Zip | 20889-0001
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Country | US
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Telephone | 301-295-5925
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Fax | 301-295-0003
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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 | 04206
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License Number State | MD
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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 | LC301395
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License Number State | DC
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