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General NPI Number Information
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NPI Number | 1255137667
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Entity Type | Individual
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Provider Name | DEXTER DODD MS, MDIV, BA,
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Gender | Male
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Dates
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Enumeration Date | 02/25/2025
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 6340 SECURITY BLVD
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City | BALTIMORE
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State | MD
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Zip | 21207-5173
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Country | US
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Telephone | 443-885-0491
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Fax |
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Provider Business Mailing Address
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Address Line | 825 CATOR AVE
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City | BALTIMORE
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State | MD
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Zip | 21218-1227
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Country | US
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Telephone | 443-885-0491
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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 | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LCA3520
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LC17382
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License Number State | MD
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