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General NPI Number Information
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NPI Number | 1811489370
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Entity Type | Individual
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Provider Name | PETER JOHN FREUDENBERGER LCSW, LCSW-C
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Gender | Male
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Dates
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Enumeration Date | 05/31/2018
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 9841 WASHINGTONIAN BLVD STE 200
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City | GAITHERSBURG
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State | MD
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Zip | 20878-7350
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Country | US
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Telephone | 240-813-9841
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Fax | 240-813-9841
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Provider Business Mailing Address
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Address Line | 9841 WASHINGTONIAN BLVD STE 200
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City | GAITHERSBURG
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State | MD
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Zip | 20878-7350
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Country | US
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Telephone | 240-813-9841
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Fax | 240-844-0102
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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 | 28712
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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 | CW019585
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License Number State | PA
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