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General NPI Number Information
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NPI Number | 1841133899
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Entity Type | Individual
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Provider Name | ELIJAH THOMAS III LCSW
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Gender | Male
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Dates
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Enumeration Date | 04/13/2026
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Last Update Date | 04/13/2026
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Provider Practice Location Address
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Address Line | 900 BESTGATE RD STE 300
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City | ANNAPOLIS
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State | MD
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Zip | 21401-7957
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Country | US
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Telephone | 410-881-2232
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Fax |
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Provider Business Mailing Address
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Address Line | 1379 9TH CT
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-3146
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Country | US
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Telephone | 561-584-4431
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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 |
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License Number State | MD
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