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General NPI Number Information
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NPI Number | 1922717966
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Entity Type | Individual
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Provider Name | IBRAHIM MOHAMED SESAY LGSW
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Gender | Male
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Dates
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Enumeration Date | 11/18/2022
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 350 EASTERN AVE NE
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City | WASHINGTON
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State | DC
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Zip | 20019-2833
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Country | US
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Telephone | 202-248-1356
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Fax | 202-978-5970
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Provider Business Mailing Address
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Address Line | 14730 4TH ST APT 224
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City | LAUREL
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State | MD
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Zip | 20707-3724
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Country | US
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Telephone | 740-447-8190
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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 | LG200004458
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License Number State | DC
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