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General NPI Number Information
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NPI Number | 1114491180
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Entity Type | Individual
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Provider Name | AMY KOHN MCNELLY LCMFT, LMFT, CAC-II
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Gender | Female
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Dates
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Enumeration Date | 01/14/2019
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Last Update Date | 01/14/2019
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Provider Practice Location Address
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Address Line | 8607 CEDAR ST
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City | SILVER SPRING
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State | MD
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Zip | 20910-4324
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Country | US
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Telephone | 240-200-5401
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Fax |
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Provider Business Mailing Address
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Address Line | 12103 STONEY CREEK RD
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City | POTOMAC
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State | MD
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Zip | 20854-1165
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Country | US
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Telephone | 301-803-0197
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT000144
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT717001490
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LCM707
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License Number State | MD
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