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General NPI Number Information
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NPI Number | 1235735580
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Entity Type | Individual
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Provider Name | KINTHIA MCGHEE OWENS LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 12/10/2020
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Last Update Date | 12/10/2020
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Provider Practice Location Address
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Address Line | 500 UPPER CHESAPEAKE DR
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City | BEL AIR
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State | MD
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Zip | 21014-4324
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Country | US
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Telephone | 443-643-2890
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Fax |
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Provider Business Mailing Address
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Address Line | 715 PERTHSHIRE PL
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City | ABINGDON
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State | MD
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Zip | 21009-2673
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Country | US
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Telephone | 478-320-8887
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 17850
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License Number State | MD
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