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General NPI Number Information
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NPI Number | 1144592908
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Entity Type | Organization
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Legal Business Name | REGENERATIONS COUNSELING SERVICES INC
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Dates
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Enumeration Date | 02/08/2012
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Last Update Date | 12/27/2016
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Provider Practice Location Address
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Address Line | 4600 FORBES BLVD SUITE 202
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City | LANHAM
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State | MD
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Zip | 20706-4312
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Country | US
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Telephone | 301-779-8415
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Fax | 301-313-0918
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Provider Business Mailing Address
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Address Line | 6301 IVY LN SUITE 421
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City | GREENBELT
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State | MD
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Zip | 20770-1402
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Country | US
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Telephone | 301-779-8415
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Fax | 301-313-0918
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEVE WASHINGTON HOWDEN
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Credential |
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Telephone | 301-779-8415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 5305
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License Number State | MD
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