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NPI 1073967915

NPI 1073967915 : RACHEL ELIZABETH SMITH LCPC : SYKESVILLE, MD

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General NPI Number Information
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    NPI Number           |    1073967915
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    Entity Type          |    Individual 
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    Provider Name        |    RACHEL ELIZABETH SMITH LCPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/18/2016
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    Last Update Date     |    02/28/2019
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Provider Practice Location Address
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    Address Line         |    355 RONSDALE RD 
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    City                 |    SYKESVILLE
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    State                |    MD
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    Zip                  |    21784-8956
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    Country              |    US
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    Telephone            |    410-386-4400
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3834 BEL PRE RD APT 10 
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    City                 |    SILVER SPRING
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    State                |    MD
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    Zip                  |    20906-2637
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    Country              |    US
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    Telephone            |    301-991-5314
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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       |    LC7023
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    License Number State |    MD
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