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General NPI Number Information
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NPI Number | 1326895681
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Entity Type | Individual
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Provider Name | CHANEL NANCE
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Gender | Female
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Dates
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Enumeration Date | 05/03/2024
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Last Update Date | 05/03/2024
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Provider Practice Location Address
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Address Line | 1201 SEVEN LOCKS RD STE 360-77
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City | ROCKVILLE
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State | MD
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Zip | 20854-2931
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Country | US
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Telephone | 410-929-1205
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Fax |
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Provider Business Mailing Address
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Address Line | 4320 FLINT HILL DR APT 104
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City | OWINGS MILLS
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State | MD
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Zip | 21117-5813
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Country | US
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Telephone | 410-929-1205
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Fax |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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