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General NPI Number Information
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NPI Number | 1295371078
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Entity Type | Organization
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Legal Business Name | ONE PROMISE COUNSELING AND EDUCATION
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Dates
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Enumeration Date | 11/27/2019
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 6211 BELAIR RD
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City | BALTIMORE
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State | MD
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Zip | 21206-1942
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Country | US
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Telephone | 443-835-2681
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Fax | 410-624-5114
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Provider Business Mailing Address
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Address Line | 6211 BELAIR RD
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City | BALTIMORE
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State | MD
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Zip | 21206-1942
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Country | US
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Telephone | 443-835-2681
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Fax | 410-624-5114
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CRAIG HOWARD LIPPENS
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Credential |
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Telephone | 410-382-0528
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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