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General NPI Number Information
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NPI Number | 1225786205
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Entity Type | Individual
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Provider Name | NELL WINER-MENIKHEIM
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Gender | Female
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Dates
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Enumeration Date | 03/17/2022
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Last Update Date | 03/17/2022
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Provider Practice Location Address
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Address Line | 60 MELLOR AVE
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City | CATONSVILLE
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State | MD
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Zip | 21228-5104
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Country | US
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Telephone | 410-788-5483
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Fax |
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Provider Business Mailing Address
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Address Line | 603 CHURCHILL RD APT F
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City | BEL AIR
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State | MD
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Zip | 21014-6610
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Country | US
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Telephone |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LGP11904
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License Number State | MD
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