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General NPI Number Information
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NPI Number | 1255155198
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Entity Type | Individual
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Provider Name | NICOLE A SHIFFLETT LGPC
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Gender | Female
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Dates
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Enumeration Date | 11/07/2024
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 1812 BALTIMORE BLVD STE A
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City | WESTMINSTER
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State | MD
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Zip | 21157-7144
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Country | US
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Telephone | 410-871-7645
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Fax |
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Provider Business Mailing Address
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Address Line | 2938 HAMPSTEAD MEXICO RD
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City | HAMPSTEAD
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State | MD
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Zip | 21074-1513
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Country | US
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Telephone | 443-974-5495
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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 | LGP17494
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License Number State | MD
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