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General NPI Number Information
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NPI Number | 1205259140
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Entity Type | Organization
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Legal Business Name | ONE STEP FORWARD WELLNESS CENTER
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Dates
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Enumeration Date | 01/29/2014
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Last Update Date | 01/29/2014
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Provider Practice Location Address
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Address Line | 9901 BUSINESS PKWY SUITE L
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City | LANHAM
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State | MD
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Zip | 20706-1840
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Country | US
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Telephone | 301-731-0003
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Fax | 301-731-4838
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Provider Business Mailing Address
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Address Line | 9901 BUSINESS PKWY SUITE L
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City | LANHAM
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State | MD
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Zip | 20706-1840
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Country | US
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Telephone | 301-731-0003
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Fax | 301-731-4838
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Authorized Official
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Title or Position | DIRECTOR
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Name | ROBIN PITTS
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Credential |
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Telephone | 301-731-0003
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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 |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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