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General NPI Number Information
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NPI Number | 1265630800
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Entity Type | Organization
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Legal Business Name | HUMAN SERVICES, INC.
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Dates
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Enumeration Date | 07/05/2007
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Last Update Date | 08/15/2008
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Provider Practice Location Address
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Address Line | 1215 ANNAPOLIS RD SUITE 202
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City | ODENTON
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State | MD
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Zip | 21113-1344
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Country | US
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Telephone | 410-519-1209
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Fax | 410-519-1208
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Provider Business Mailing Address
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Address Line | 1215 ANNAPOLIS RD SUITE 202
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City | ODENTON
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State | MD
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Zip | 21113-1344
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Country | US
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Telephone | 410-519-1209
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Fax | 410-519-1208
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HOWARD EISENBERG
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Credential | PHD LCSW-C
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Telephone | 410-977-9555
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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 | 03614
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License Number State | MD
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