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General NPI Number Information
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NPI Number | 1811275423
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Entity Type | Individual
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Provider Name | ALDRIN OSVALDO CEBALLOS LCSW-C
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Gender | Male
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Dates
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Enumeration Date | 07/31/2011
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Last Update Date | 03/19/2018
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Provider Practice Location Address
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Address Line | 604 S FREDERICK AVE STE 215
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City | GAITHERSBURG
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State | MD
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Zip | 20877-1282
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Country | US
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Telephone | 202-390-4487
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Fax | 301-740-2192
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Provider Business Mailing Address
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Address Line | 20332 CEDARHURST WAY
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City | GERMANTOWN
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State | MD
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Zip | 20876-5642
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Country | US
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Telephone | 202-390-4487
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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 | 14168
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License Number State | MD
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