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General NPI Number Information
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NPI Number | 1033072988
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Entity Type | Individual
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Provider Name | MARY C SEARS CSC-AD
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Gender | Female
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 821 FIELDCREST RD
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City | CAMBRIDGE
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State | MD
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Zip | 21613-9423
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Country | US
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Telephone | 410-673-4600
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Fax |
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Provider Business Mailing Address
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Address Line | 2227 ANDREWS RD
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City | CRAPO
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State | MD
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Zip | 21626-2002
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Country | US
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Telephone |
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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 | SC3550
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License Number State | MD
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