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General NPI Number Information
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NPI Number | 1932644390
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Entity Type | Organization
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Legal Business Name | PAULINE GIANOPLUS
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Dates
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Enumeration Date | 12/21/2016
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Last Update Date | 12/21/2016
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Provider Practice Location Address
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Address Line | 4405 EAST WEST HWY SUITE 506
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City | BETHESDA
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State | MD
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Zip | 20814
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Country | US
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Telephone | 443-877-7843
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3268
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City | ANNAPOLIS
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State | MD
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Zip | 21403-0268
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Country | US
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Telephone | 443-877-7843
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Fax |
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Authorized Official
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Title or Position | PRINCIPAL/PSYCHOTHERAPIST
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Name | DR. PAULINE GIANOPLUS
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Credential | PHD, MSW
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Telephone | 443-877-7843
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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 | 15198
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License Number State | MD
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