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General NPI Number Information
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NPI Number | 1851950950
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Entity Type | Individual
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Provider Name | KARALYN STAUFFER
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Gender | Female
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Dates
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Enumeration Date | 06/12/2019
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Last Update Date | 10/04/2021
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Provider Practice Location Address
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Address Line | 300 L ST NE APT 107
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City | WASHINGTON
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State | DC
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Zip | 20002-3507
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Country | US
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Telephone | 860-539-8310
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Fax |
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Provider Business Mailing Address
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Address Line | 300 L ST NE APT 107
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City | WASHINGTON
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State | DC
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Zip | 20002-3507
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Country | US
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Telephone | 860-539-8310
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 21211
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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 | 21211
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC50082565
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License Number State | DC
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