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NPI 1992913081

NPI 1992913081 : JUDY LYNN LANSING M.S.W. : WASHINGTON, DC

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General NPI Number Information
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    NPI Number           |    1992913081
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    Entity Type          |    Individual 
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    Provider Name        |    JUDY LYNN LANSING M.S.W.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/20/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    3 WASHINGTON CIR NW STE 405 
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    City                 |    WASHINGTON
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    State                |    DC
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    Zip                  |    20037-2362
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    Country              |    US
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    Telephone            |    202-333-8034
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    Fax                  |    202-333-7963
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Provider Business Mailing Address
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    Address Line         |    2618 31ST ST NW 
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    City                 |    WASHINGTON
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    State                |    DC
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    Zip                  |    20008-3519
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    Country              |    US
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    Telephone            |    202-333-0761
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    Fax                  |    202-333-7963
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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       |    LC00301759
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    License Number State |    DC
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