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General NPI Number Information
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NPI Number | 1356649594
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Entity Type | Individual
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Provider Name | MICHAEL DANIEL SPAULDING LCPC
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Gender | Male
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Dates
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Enumeration Date | 03/12/2011
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Last Update Date | 04/19/2017
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Provider Practice Location Address
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Address Line | 9881 BROKEN LAND PKWY SUITE 105
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City | COLUMBIA
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State | MD
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Zip | 21046-1172
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Country | US
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Telephone | 410-599-7870
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Fax |
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Provider Business Mailing Address
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Address Line | 7904 WHITES COVE RD
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City | PASADENA
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State | MD
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Zip | 21122-2374
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Country | US
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Telephone | 410-599-7870
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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 | LC2727
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License Number State | MD
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