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General NPI Number Information
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NPI Number | 1386985034
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Entity Type | Individual
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Provider Name | RICHARD C CONOVER LCPC
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Gender | Male
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Dates
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Enumeration Date | 03/05/2013
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Last Update Date | 09/27/2016
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Provider Practice Location Address
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Address Line | 10630 LITTLE PATUXENT PKWY STE 209
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City | COLUMBIA
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State | MD
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Zip | 21044-6278
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Country | US
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Telephone | 410-740-8066
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Fax |
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Provider Business Mailing Address
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Address Line | 10943 SWANSFIELD RD
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City | COLUMBIA
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State | MD
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Zip | 21044-2727
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Country | US
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Telephone | 410-802-6445
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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 | LC4471
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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