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General NPI Number Information
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NPI Number | 1053517342
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Entity Type | Individual
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Provider Name | KAREN IRENE CRAWLEY-BUCKHOLTZ MA, LCPC
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Gender | Female
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Dates
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Enumeration Date | 06/22/2007
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Last Update Date | 12/12/2007
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Provider Practice Location Address
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Address Line | 1113 ODENTON RD SUITE 2D
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City | ODENTON
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State | MD
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Zip | 21113-1606
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Country | US
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Telephone | 443-351-2004
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Fax |
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Provider Business Mailing Address
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Address Line | 1534 SAPPINGTON DR
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City | GAMBRILLS
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State | MD
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Zip | 21054-1057
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Country | US
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Telephone | 443-351-2004
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LC2622
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License Number State | MD
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