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General NPI Number Information
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NPI Number | 1326947177
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Entity Type | Individual
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Provider Name | NICOLE REGAN
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Gender | Female
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Dates
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Enumeration Date | 11/05/2026
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Last Update Date | 11/05/2026
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Provider Practice Location Address
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Address Line | 7500 GREENWAY CENTER DR STE 203
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City | GREENBELT
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State | MD
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Zip | 20770-3531
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Country | US
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Telephone | 240-614-2177
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Fax |
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Provider Business Mailing Address
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Address Line | 1313 GRAND CANOPY DR
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City | SEVERN
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State | MD
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Zip | 21144-6814
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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 |
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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 | LGP18425
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License Number State | MD
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