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General NPI Number Information
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NPI Number | 1962689679
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Entity Type | Individual
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Provider Name | ELIZABETH L COLEMAN LICSW
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Gender | Female
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Dates
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Enumeration Date | 01/24/2008
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1012 14TH ST NW STE 1000
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City | WASHINGTON
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State | DC
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Zip | 20005-3452
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Country | US
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Telephone | 202-654-5101
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Fax |
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Provider Business Mailing Address
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Address Line | 801 PENNSYLVANIA AVE SE
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City | WASHINGTON
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State | DC
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Zip | 20003-2167
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Country | US
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Telephone | 202-381-3982
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Fax | 202-683-1155
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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 | 14770
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License Number State | MD
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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 | LC50078725
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License Number State | DC
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