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General NPI Number Information
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NPI Number | 1902595218
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Entity Type | Individual
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Provider Name | KARO BEYGZADEH
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Gender | Male
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Dates
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Enumeration Date | 05/03/2023
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Last Update Date | 05/23/2023
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Provider Practice Location Address
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Address Line | 14440 CHERRY LANE CT STE 208
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City | LAUREL
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State | MD
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Zip | 20707-4946
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Country | US
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Telephone | 202-557-4653
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Fax |
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Provider Business Mailing Address
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Address Line | 6014 LUX LN
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City | ROCKVILLE
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State | MD
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Zip | 20852-3502
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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 | 101Y00000X
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Taxonomy Name | Counselor
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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 | 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 #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 29806
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License Number State | MD
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