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General NPI Number Information
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NPI Number | 1225660566
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Entity Type | Individual
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Provider Name | CANDICE HILL-BOWLING LMSW
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Gender | Female
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Dates
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Enumeration Date | 02/05/2020
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Last Update Date | 02/05/2020
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Provider Practice Location Address
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Address Line | 517 BENFIELD RD STE 100
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City | SEVERNA PARK
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State | MD
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Zip | 21146-2527
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Country | US
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Telephone | 832-743-5581
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Fax |
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Provider Business Mailing Address
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Address Line | ACP# 17028 P.O. BOX 2995
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City | ANNAPOLIS
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State | MD
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Zip | 21404
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Country | US
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Telephone | 479-616-9122
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Fax |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 25251
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License Number State | MD
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