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General NPI Number Information
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NPI Number | 1336242742
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Entity Type | Individual
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Provider Name | MARJORIE ANN DECK LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 06/17/2019
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Provider Practice Location Address
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Address Line | 2225 N CHARLES ST
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City | BALTIMORE
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State | MD
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Zip | 21218-5778
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Country | US
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Telephone | 410-366-4360
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Fax | 410-235-7508
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Provider Business Mailing Address
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Address Line | 1146 SILVERLEAF DR
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City | ARNOLD
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State | MD
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Zip | 21012-1942
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Country | US
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Telephone | 410-544-7343
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Fax | 410-544-7343
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 09196
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License Number State | MD
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