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General NPI Number Information
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NPI Number | 1245377217
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Entity Type | Individual
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Provider Name | MARY MICHELE ADKINS LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 07/29/2008
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Provider Practice Location Address
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Address Line | BERLIN HEALTH CENTER 9730 HEALTHWAY DRIVE
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City | BERLIN
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State | MD
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Zip | 21811
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Country | US
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Telephone | 410-629-0164
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Fax | 410-629-0185
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Provider Business Mailing Address
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Address Line | 412 S CAMDEN AVE
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City | FRUITLAND
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State | MD
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Zip | 21826-1219
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Country | US
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Telephone | 410-742-6947
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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 | 13591
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License Number State | MD
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