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General NPI Number Information
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NPI Number | 1306967518
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Entity Type | Individual
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Provider Name | MRS. CATHERINE KEEFER LEE
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Gender | Female
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7120 MINSTREL WAY SUITE 203
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City | COLUMBIA
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State | MD
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Zip | 21045-5292
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Country | US
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Telephone | 410-615-5311
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Fax | 410-381-7849
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Provider Business Mailing Address
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Address Line | 9503 ANGELINA CIR
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City | COLUMBIA
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State | MD
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Zip | 21045-5114
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Country | US
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Telephone | 410-381-6551
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Fax | 410-381-7849
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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 | LC1262
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License Number State | MD
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