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General NPI Number Information
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NPI Number | 1174681845
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Entity Type | Individual
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Provider Name | ELLERY ALLEN OWENS LCSW C MARYLAND
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Gender | Female
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | AFFILIATED COMMUNITY COUNSELORS INC 50 WEST MONTGOMERY AVE SUITE 110
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City | ROCKVILLE
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State | MD
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Zip | 20850-4216
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Country | US
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Telephone | 301-251-8965
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Fax | 301-251-0136
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Provider Business Mailing Address
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Address Line | 50 W MONTGOMERY AVENUE SUITE 110
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City | ROCKVILLE
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State | MD
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Zip | 20850-4216
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Country | US
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Telephone | 301-251-8965
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Fax | 301-251-0136
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 10318
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License Number State |
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