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General NPI Number Information
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NPI Number | 1376296400
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Entity Type | Individual
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Provider Name | JOSEPH H ALLEN
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Gender | Male
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Dates
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Enumeration Date | 01/29/2022
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Last Update Date | 01/29/2022
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Provider Practice Location Address
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Address Line | 8337 CHERRY LN # 12
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City | LAUREL
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State | MD
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Zip | 20707-4828
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Country | US
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Telephone | 877-806-1501
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Fax | 877-806-1501
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Provider Business Mailing Address
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Address Line | 3022 WALBROOK AVE
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City | BALTIMORE
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State | MD
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Zip | 21216-3116
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Country | US
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Telephone | 443-690-2293
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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 | G10077
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License Number State | MD
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