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General NPI Number Information
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NPI Number | 1407549645
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Entity Type | Organization
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Legal Business Name | SCOVENS & ASSOCIATES, LLC
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Dates
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Enumeration Date | 06/01/2023
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Last Update Date | 06/01/2023
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Provider Practice Location Address
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Address Line | 608 GLENROCK RD
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City | PIKESVILLE
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State | MD
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Zip | 21208-4720
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Country | US
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Telephone | 443-835-8808
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Fax | 218-422-7223
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Provider Business Mailing Address
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Address Line | 608 GLENROCK RD
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City | PIKESVILLE
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State | MD
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Zip | 21208-4720
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Country | US
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Telephone | 443-835-8808
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Fax | 218-422-7223
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Authorized Official
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Title or Position | OWNER
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Name | MR. CYRIL M SCOVENS
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Credential | LCADC
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Telephone | 443-835-8808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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