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General NPI Number Information
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NPI Number | 1063858066
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Entity Type | Individual
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Provider Name | CARLETO AGUSTUS LINTON LCADC
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Gender | Male
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Dates
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Enumeration Date | 05/16/2013
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Last Update Date | 05/16/2013
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Provider Practice Location Address
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Address Line | 17 WARREN RD SUITE 12-B
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City | PIKESVILLE
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State | MD
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Zip | 21208-5334
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Country | US
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Telephone | 443-379-7055
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Fax |
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Provider Business Mailing Address
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Address Line | 266 LUGUAIN CT
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City | PIKESVILLE
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State | MD
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Zip | 21208-3340
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Country | US
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Telephone | 443-379-7055
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Fax | 443-660-8333
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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 |
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License Number State |
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