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General NPI Number Information
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NPI Number | 1104458124
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Entity Type | Individual
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Provider Name | ZECHARIAH G BOLICK LPCMH
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Gender | Male
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Dates
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Enumeration Date | 02/07/2020
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 1208 E CHURCHVILLE RD STE 300
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City | BEL AIR
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State | MD
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Zip | 21014-3485
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Country | US
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Telephone | 410-893-4600
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Fax | 443-640-4358
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Provider Business Mailing Address
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Address Line | 1713 DALFIELD DR
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City | WILMINGTON
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State | DE
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Zip | 19803-4004
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Country | US
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Telephone |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | PC-0000987
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License Number State | DE
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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 | PC-0000987
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | PC-0000987
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License Number State | DE
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