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General NPI Number Information
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NPI Number | 1033552765
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Entity Type | Individual
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Provider Name | MEGAN L. MULLINS LCPC
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Gender | Female
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Dates
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Enumeration Date | 04/11/2013
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Last Update Date | 11/04/2018
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Provider Practice Location Address
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Address Line | 505 BLUE BALL RD BLDG 140B
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City | ELKTON
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State | MD
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Zip | 21921
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Country | US
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Telephone | 410-491-8201
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Fax |
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Provider Business Mailing Address
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Address Line | 500 W CREEK VILLAGE DR APT A2
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City | ELKTON
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State | MD
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Zip | 21921-4185
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Country | US
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Telephone | 410-491-8201
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LC4958
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License Number State | MD
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