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General NPI Number Information
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NPI Number | 1093897803
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Entity Type | Organization
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Legal Business Name | MARSHY HOPE FAMILY SERVICES, LLC
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 12/13/2016
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Provider Practice Location Address
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Address Line | 813-1 CHESAPEAKE DRIVE
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City | CAMBRIDGE
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State | MD
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Zip | 21613-9401
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Country | US
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Telephone | 410-221-2266
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Fax | 410-221-2878
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Provider Business Mailing Address
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Address Line | 813-1 CHESAPEAKE DRIVE
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City | CAMBRIDGE
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State | MD
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Zip | 21613-9401
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Country | US
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Telephone | 410-221-2266
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Fax | 410-221-2878
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Authorized Official
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Title or Position | OWNER, CLINICAL DIRECTOR
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Name | MRS. MARY JUNE MCGINNIS
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Credential | MSW, LCSW-C
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Telephone | 410-221-2266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse 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 | MD
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Taxonomy #3
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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