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General NPI Number Information
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NPI Number | 1013062793
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Entity Type | Individual
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Provider Name | CLAIBORNE BETH OHLSSON CSC
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Gender | Female
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1001 LAKE ST CENTER 4 CLEAN START
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City | SALISBURY
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State | MD
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Zip | 21801-3141
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Country | US
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Telephone | 410-742-3460
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Fax | 410-742-5810
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Provider Business Mailing Address
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Address Line | 326 POPLAR HILL AVE
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City | SALISBURY
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State | MD
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Zip | 21801-4277
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Country | US
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Telephone | 410-677-0477
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | SCO360
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License Number State | MD
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