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General NPI Number Information
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NPI Number | 1174930523
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Entity Type | Organization
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Legal Business Name | SYLOVIA HEALTH SYSTEM
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Dates
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Enumeration Date | 07/17/2014
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Last Update Date | 07/17/2014
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Provider Practice Location Address
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Address Line | 43 GWYNNSWOOD RD
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City | OWINGS MILLS
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State | MD
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Zip | 21117
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Country | US
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Telephone | 443-251-9197
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Fax | 443-213-8675
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Provider Business Mailing Address
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Address Line | 43 GWYNNSWOOD RD
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City | OWINGS MILLS
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State | MD
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Zip | 21117-1776
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Country | US
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Telephone | 443-251-9197
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Fax | 443-213-8675
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | DR. ANDREW O BROWN
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Credential | LCPC
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Telephone | 443-251-9197
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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