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General NPI Number Information
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NPI Number | 1275615338
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Entity Type | Organization
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Legal Business Name | PCC LTD
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 07/27/2021
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Provider Practice Location Address
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Address Line | 8131 RITCHIE HWY SUITE G
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City | PASADENA
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State | MD
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Zip | 21122-6940
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Country | US
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Telephone | 410-360-4774
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Fax | 410-544-4928
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Provider Business Mailing Address
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Address Line | 8131 RITCHIE HWY SUITE G
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City | PASADENA
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State | MD
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Zip | 21122-6940
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Country | US
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Telephone | 410-360-4774
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Fax | 410-544-4928
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Authorized Official
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Title or Position | OWNER
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Name | GEORGE M ANDREWS
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Credential |
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Telephone | 443-591-0230
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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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