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General NPI Number Information
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NPI Number | 1093807067
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Entity Type | Individual
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Provider Name | MRS. LAUREN R BRYANT
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Gender | Female
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 03/02/2020
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Provider Practice Location Address
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Address Line | 11350 MCCORMICK RD STE 408
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City | HUNT VALLEY
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State | MD
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Zip | 21031-1002
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Country | US
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Telephone | 443-913-0706
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Fax | 410-771-9208
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Provider Business Mailing Address
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Address Line | 11350 MCCORMICK RD STE 408
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City | HUNT VALLEY
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State | MD
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Zip | 21031-1002
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Country | US
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Telephone | 443-913-0706
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Fax | 410-771-9208
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW016963
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 10410
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License Number State | MD
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