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General NPI Number Information
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NPI Number | 1922735042
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Entity Type | Individual
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Provider Name | JANA C. TAYLOR MSW, LICSW, CPHQ
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Gender | Female
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Dates
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Enumeration Date | 08/08/2022
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Last Update Date | 08/08/2022
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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 |
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Provider Business Mailing Address
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Address Line | 6924-A ELLINGHAM CIR
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City | ALEXANDRIA
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State | VA
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Zip | 22315
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Country | US
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Telephone | 703-509-2178
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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 | LC300246
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License Number State | DC
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