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General NPI Number Information
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NPI Number | 1316219249
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Entity Type | Organization
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Legal Business Name | FV ASSOCIATES, LLC
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Dates
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Enumeration Date | 02/08/2012
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Last Update Date | 02/08/2012
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Provider Practice Location Address
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Address Line | 600 REISTERSTOWN RD SUITE 404
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City | PIKESVILLE
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State | MD
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Zip | 21208-5104
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Country | US
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Telephone | 443-865-5549
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Fax |
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Provider Business Mailing Address
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Address Line | 600 REISTERSTOWN RD SUITE 404
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City | PIKESVILLE
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State | MD
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Zip | 21208-5104
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | MRS. TANIA WILSON
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Credential |
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Telephone | 443-865-5549
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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 | MH
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License Number State | MD
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