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General NPI Number Information
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NPI Number | 1124679071
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Entity Type | Individual
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Provider Name | MARSEL SHAMOUELIAN
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Gender | Female
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Dates
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Enumeration Date | 09/23/2019
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Last Update Date | 11/14/2022
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Provider Practice Location Address
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Address Line | 11 GWYNNS MILL CT STE K
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City | OWINGS MILLS
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State | MD
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Zip | 21117-3500
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Country | US
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Telephone | 310-497-4843
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Fax |
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Provider Business Mailing Address
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Address Line | 3215 SMITH AVE
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City | BALTIMORE
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State | MD
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Zip | 21208-4543
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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