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General NPI Number Information
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NPI Number | 1912098575
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Entity Type | Organization
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Legal Business Name | CA SANTUCCI PLLC
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 05/05/2008
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Provider Practice Location Address
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Address Line | 1050 17TH ST NW SUITE 1000
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City | WASHINGTON
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State | DC
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Zip | 20036-5512
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Country | US
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Telephone | 202-255-5889
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Fax |
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Provider Business Mailing Address
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Address Line | 3900 TUNLAW RD NW # 301
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City | WASHINGTON
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State | DC
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Zip | 20007-4807
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Country | US
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Telephone | 202-248-8828
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Fax |
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Authorized Official
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Title or Position | PRESIDENT SOLE PROPRIETOR
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Name | CAROL SANTUCCI
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Credential | LICSW
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Telephone | 202-248-8828
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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 | LC303300
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License Number State | DC
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