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General NPI Number Information
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NPI Number | 1831075449
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Entity Type | Individual
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Provider Name | JENNIFER JANG
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Gender | Female
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 12501 PROSPERITY DR STE 310
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City | SILVER SPRING
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State | MD
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Zip | 20904-1699
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Country | US
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Telephone | 410-343-9756
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Fax | 410-630-7096
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Provider Business Mailing Address
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Address Line | 12501 PROSPERITY DR STE 310
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City | SILVER SPRING
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State | MD
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Zip | 20904-1699
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Country | US
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Telephone | 410-343-9756
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Fax | 410-630-7096
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | A01161
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License Number State | MD
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