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General NPI Number Information
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NPI Number | 1912342270
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Entity Type | Individual
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Provider Name | SIMONE SCHWAGER LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 05/01/2013
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Last Update Date | 06/04/2015
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Provider Practice Location Address
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Address Line | 11300 ROCKVILLE PIKE STE 914
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City | ROCKVILLE
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State | MD
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Zip | 20852-3025
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Country | US
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Telephone | 301-881-0433
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Fax |
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Provider Business Mailing Address
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Address Line | 10832 SIR BARTON CIR
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City | DAMASCUS
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State | MD
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Zip | 20872-2141
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Country | US
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Telephone | 240-643-7004
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 14683
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License Number State | MD
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