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General NPI Number Information
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NPI Number | 1336347046
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Entity Type | Individual
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Provider Name | CYNTHIA A WATERS LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 07/03/2007
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Last Update Date | 01/03/2014
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Provider Practice Location Address
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Address Line | 110 W. CHURCH STREET, SUITE C
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City | SALISBURY
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State | MD
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Zip | 21801
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Country | US
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Telephone | 443-497-2044
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Fax | 410-749-1589
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Provider Business Mailing Address
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Address Line | 110 W. CHURCH STREET, SUITE C
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City | SALISBURY
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State | MD
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Zip | 21801
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Country | US
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Telephone | 410-572-5767
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | G12878
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 19328
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License Number State | MD
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