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General NPI Number Information
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NPI Number | 1063177277
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Entity Type | Individual
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Provider Name | DR. CHANTA MONIQUE BOOKER
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Gender | Female
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Dates
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Enumeration Date | 11/02/2021
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Last Update Date | 11/02/2021
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Provider Practice Location Address
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Address Line | 1829 REISTERSTOWN RD STE 350
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City | PIKESVILLE
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State | MD
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Zip | 21208-7126
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Country | US
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Telephone | 443-641-9407
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Fax |
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Provider Business Mailing Address
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Address Line | 1 ARROWOOD CT
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City | ROSEDALE
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State | MD
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Zip | 21237-3835
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Country | US
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Telephone | 443-562-9657
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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