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General NPI Number Information
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NPI Number | 1235013442
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Entity Type | Individual
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Provider Name | FORAM PARE
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Gender | Female
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Dates
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Enumeration Date | 08/01/2025
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 8894 STANFORD BLVD STE 103
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City | COLUMBIA
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State | MD
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Zip | 21045-5161
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Country | US
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Telephone | 646-535-8260
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Fax |
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Provider Business Mailing Address
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Address Line | 5000 WAVERLY LN APT 452
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City | OWINGS MILLS
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State | MD
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Zip | 21117-1459
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Country | US
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Telephone | 917-822-2588
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LGP16809
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License Number State | MD
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