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General NPI Number Information
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NPI Number | 1912589441
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Entity Type | Individual
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Provider Name | MONAY WADSWORTH LICSW
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Gender | Female
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Dates
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Enumeration Date | 04/23/2021
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Last Update Date | 03/31/2022
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Provider Practice Location Address
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Address Line | FORT BELVOIR COMMUNITY HOSPITAL 9300 DEWITT LOOP
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City | FORT BELVOIR
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State | VI
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Zip | 22060
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Country | US
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Telephone | 571-231-1174
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Fax |
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Provider Business Mailing Address
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Address Line | 9300 DEWITT LOOP
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City | FORT BELVOIR COMMUNITY HOSPITAL
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State | VA
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Zip | 22020
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Country | US
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Telephone | 510-213-3738
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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 | LC50082749
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License Number State | DC
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