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General NPI Number Information
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NPI Number | 1144856295
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Entity Type | Organization
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Legal Business Name | CLIENT FIRST HEALTH SOLUTIONS, LLC
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Dates
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Enumeration Date | 03/20/2020
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Last Update Date | 03/20/2020
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Provider Practice Location Address
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Address Line | 1714 WINCHESTER RD
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City | ANNAPOLIS
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State | MD
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Zip | 21409-5851
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Country | US
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Telephone | 703-346-6772
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 80
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City | ARNOLD
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State | MD
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Zip | 21012-0080
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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 | PRINCIPAL
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Name | JERREN PELLICANO
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Credential |
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Telephone | 703-346-6772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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