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General NPI Number Information
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NPI Number | 1093400988
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Entity Type | Organization
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Legal Business Name | KIDS CAN COPE LLC
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Dates
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Enumeration Date | 04/07/2023
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Last Update Date | 04/20/2023
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Provider Practice Location Address
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Address Line | 1332 LONDONTOWN BLVD STE 108D
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City | SYKESVILLE
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State | MD
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Zip | 21784-6587
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Country | US
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Telephone | 443-454-4404
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Fax |
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Provider Business Mailing Address
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Address Line | 6205 MONROE AVE
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City | SYKESVILLE
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State | MD
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Zip | 21784-6600
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Country | US
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Telephone | 253-651-8134
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JESSICA BAIRD
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Credential |
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Telephone | 253-651-8134
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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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 | 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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