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General NPI Number Information
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NPI Number | 1952536617
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Entity Type | Individual
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Provider Name | PATRICIA ANN PACYNSKI LICSW
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Gender | Female
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Dates
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Enumeration Date | 05/26/2009
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Last Update Date | 02/13/2017
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Provider Practice Location Address
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Address Line | 9080 BEALE RD BUILDING 62, ROOM 3055
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City | BETHESDA
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State | MD
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Zip | 20889-5633
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Country | US
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Telephone | 301-400-0414
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Fax |
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Provider Business Mailing Address
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Address Line | 4402 BOWEN RD SE
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City | WASHINGTON
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State | DC
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Zip | 20019-5614
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Country | US
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Telephone | 202-449-0668
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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 | LC50077942
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 050397
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License Number State | NY
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