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General NPI Number Information
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NPI Number | 1003089723
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Entity Type | Organization
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Legal Business Name | PASSLEY CONSULTING & PYSCHOLOGICAL SVC
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Dates
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Enumeration Date | 04/03/2008
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Last Update Date | 04/25/2008
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Provider Practice Location Address
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Address Line | 10015 OLD COLUMBIA RD SUITE B215
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City | COLUMBIA
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State | MD
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Zip | 21046-1703
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Country | US
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Telephone | 443-621-7260
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Fax | 410-552-9881
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Provider Business Mailing Address
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Address Line | 10015 OLD COLUMBIA RD SUITE B-215
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City | COLUMBIA
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State | MD
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Zip | 21046-1703
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Country | US
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Telephone | 443-621-7260
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Fax | 410-552-9881
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Authorized Official
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Title or Position | OWNER
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Name | JOSEF PASSLEY
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Credential | LCPC
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Telephone | 443-621-7260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LC1938
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License Number State | MD
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