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General NPI Number Information
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NPI Number | 1861125924
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Entity Type | Individual
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Provider Name | MS. ASHA MCCALLUM
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Gender | Female
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Dates
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Enumeration Date | 07/06/2022
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Last Update Date | 11/14/2023
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Provider Practice Location Address
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Address Line | 801 PENNSYLVANIA AVE SE
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City | WASHINGTON
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State | DC
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Zip | 20003-2167
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Country | US
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Telephone | 240-427-6052
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Fax |
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Provider Business Mailing Address
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Address Line | 3094 HEATHCOTE RD
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City | WALDORF
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State | MD
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Zip | 20602-2596
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Country | US
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Telephone | 240-427-6053
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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Taxonomy #5
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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