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General NPI Number Information
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NPI Number | 1174010136
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Entity Type | Organization
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Legal Business Name | TAMMY SPENGLER, LCSW-C, LLC
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Dates
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Enumeration Date | 04/16/2018
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 5457 TWIN KNOLLS RD STE 300
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City | COLUMBIA
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State | MD
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Zip | 21045-3259
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Country | US
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Telephone | 443-248-3437
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Fax | 410-884-6910
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Provider Business Mailing Address
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Address Line | 5218 WOOD STOVE LN
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City | COLUMBIA
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State | MD
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Zip | 21045-1915
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Country | US
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Telephone | 443-248-3437
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Fax | 410-884-6910
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Authorized Official
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Title or Position | OWNER
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Name | MS. TAMMY JANE SPENGLER
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Credential | LCSW-C
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Telephone | 443-248-3437
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 09953
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License Number State | MD
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