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General NPI Number Information
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NPI Number | 1104641380
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Entity Type | Organization
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Legal Business Name | OCEAN FRONT COUNSELING
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Dates
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Enumeration Date | 11/21/2024
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 1219 MOUNT HERMON RD
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City | SALISBURY
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State | MD
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Zip | 21804-5111
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Country | US
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Telephone | 302-604-2424
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Fax |
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Provider Business Mailing Address
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Address Line | 17051 REDDEN RD
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City | GEORGETOWN
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State | DE
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Zip | 19947-3339
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Country | US
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Telephone | 302-212-7091
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHARON KAY WILLEY SPURRIER
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Credential | PSY D, BCBA, LBA
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Telephone | 302-604-2424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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