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General NPI Number Information
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NPI Number | 1013500040
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Entity Type | Organization
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Legal Business Name | BY THE BAY COUNSELING, LLC
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Dates
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Enumeration Date | 02/20/2021
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Last Update Date | 02/20/2021
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Provider Practice Location Address
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Address Line | 4614 GREEN RIDGE CT
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City | HUNTINGTOWN
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State | MD
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Zip | 20639-3002
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Country | US
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Telephone | 443-850-4955
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Fax |
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Provider Business Mailing Address
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Address Line | 4614 GREEN RIDGE CT
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City | HUNTINGTOWN
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State | MD
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Zip | 20639-3002
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Country | US
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Telephone | 443-850-4955
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KELLI REMMEL
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Credential |
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Telephone | 443-850-4955
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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 |
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License Number State |
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