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NPI 1871373720

NPI 1871373720 : JASMINE WASHINGTON : WASHINGTON, DC

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General NPI Number Information
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    NPI Number           |    1871373720
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    Entity Type          |    Individual 
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    Provider Name        |    JASMINE WASHINGTON
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/28/2023
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    Last Update Date     |    09/28/2023
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Provider Practice Location Address
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    Address Line         |    1627 K ST NW STE 500 
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    City                 |    WASHINGTON
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    State                |    DC
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    Zip                  |    20006-1708
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    Country              |    US
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    Telephone            |    202-400-7524
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 21331 
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    City                 |    WASHINGTON
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    State                |    DC
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    Zip                  |    20009-0831
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    Country              |    US
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    Telephone            |    
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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       |    30166
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    License Number State |    MD
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Taxonomy #2
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    LG200002370
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    License Number State |    DC
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