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General NPI Number Information
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NPI Number | 1396257887
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Entity Type | Organization
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Legal Business Name | DARBY INTEGRATIVE COUNSELING
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Dates
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Enumeration Date | 10/25/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 15932 SHADY GROVE RD UNIT B
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City | GAITHERSBURG
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State | MD
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Zip | 20877-1314
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Country | US
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Telephone | 301-960-8694
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Fax |
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Provider Business Mailing Address
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Address Line | 9900 GEORGIA AVE APT 706
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City | SILVER SPRING
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State | MD
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Zip | 20902-5243
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Country | US
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Telephone | 301-960-8694
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. ANDREW PAUL DARBY
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Credential | LCSW-C
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Telephone | 301-960-8694
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 19434
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 19434
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 19434
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License Number State | MD
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