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General NPI Number Information
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NPI Number | 1851721203
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Entity Type | Individual
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Provider Name | NATHAN DESHAUN DREW LCSW-C, LICSW
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Gender | Male
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Dates
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Enumeration Date | 11/22/2013
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Last Update Date | 08/31/2016
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Provider Practice Location Address
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Address Line | 1200 1ST ST NE FL 9
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City | WASHINGTON
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State | DC
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Zip | 20002-7953
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Country | US
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Telephone | 202-939-3150
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Fax |
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Provider Business Mailing Address
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Address Line | 6154 SPRINGHILL TER APT 305
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City | GREENBELT
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State | MD
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Zip | 20770-6156
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Country | US
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Telephone | 301-538-5917
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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 | 18334
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | LC50080927
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License Number State | DC
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