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NPI 1265938666

NPI 1265938666 : HARCON LLC : ROSEDALE, MD

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General NPI Number Information
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    NPI Number           |    1265938666
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    Entity Type          |    Organization 
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    Legal Business Name  |    HARCON LLC 
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Dates
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    Enumeration Date     |    04/04/2018
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    Last Update Date     |    07/29/2025
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Provider Practice Location Address
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    Address Line         |    6918 RIDGE RD STE B101 
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    City                 |    ROSEDALE
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    State                |    MD
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    Zip                  |    21237-3854
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    Country              |    US
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    Telephone            |    443-902-5460
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6918 RIDGE RD STE B101 
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    City                 |    ROSEDALE
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    State                |    MD
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    Zip                  |    21237-3854
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    Country              |    US
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    Telephone            |    443-902-5460
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. VAUGHN EDWIN HARVEY 
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    Credential           |    LCSW-C
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    Telephone            |    443-902-5460
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    252Y00000X
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    Taxonomy Name        |    Early Intervention Provider Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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