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General NPI Number Information
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NPI Number | 1265125686
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Entity Type | Individual
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Provider Name | LUCRETIA SCOTT LMSW
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Gender | Female
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Dates
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Enumeration Date | 05/31/2023
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Last Update Date | 05/31/2023
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Provider Practice Location Address
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Address Line | 4425 FITCH AVE STE 118
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City | NOTTINGHAM
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State | MD
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Zip | 21236-3927
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Country | US
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Telephone | 410-870-2125
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Fax |
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Provider Business Mailing Address
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Address Line | 3708 SPRINGWOOD AVE
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City | BALTIMORE
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State | MD
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Zip | 21206-2423
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Country | US
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Telephone | 443-224-8851
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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 | 29769
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License Number State | MD
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