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General NPI Number Information
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NPI Number | 1114567450
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Entity Type | Individual
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Provider Name | ANGEL HARRIOTT LGPC
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Gender | Female
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Dates
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Enumeration Date | 01/15/2020
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Last Update Date | 01/15/2020
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Provider Practice Location Address
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Address Line | 610 E DIAMOND AVE
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City | GAITHERSBURG
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State | MD
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Zip | 20877-5321
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Country | US
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Telephone | 301-840-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 15318 JENKINS RIDGE RD
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City | BOWIE
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State | MD
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Zip | 20721-6213
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Country | US
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Telephone | 301-218-3448
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Fax | 301-218-1115
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LGP5918
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License Number State | MD
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