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General NPI Number Information
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NPI Number | 1174237168
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Entity Type | Individual
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Provider Name | JOHN GINGRICH LGPC
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Gender | Male
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Dates
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Enumeration Date | 01/13/2023
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 1014 W 36TH ST
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City | BALTIMORE
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State | MD
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Zip | 21211-2415
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Country | US
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Telephone | 443-720-0090
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Fax | 855-212-5690
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Provider Business Mailing Address
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Address Line | 1014 W 36TH ST
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City | BALTIMORE
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State | MD
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Zip | 21211-2415
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Country | US
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Telephone | 443-720-0090
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Fax | 855-212-5690
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | MD
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