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General NPI Number Information
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NPI Number | 1417483652
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Entity Type | Organization
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Legal Business Name | JON HERSHFIELD, MFT, INC.
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Dates
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Enumeration Date | 05/09/2017
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Last Update Date | 05/09/2017
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Provider Practice Location Address
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Address Line | 11350 MCCORMICK EP 3 RD STE LL4
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City | HUNT VALLEY
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State | MD
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Zip | 21031-8916
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Country | US
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Telephone | 410-927-5462
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Fax | 410-324-7634
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Provider Business Mailing Address
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Address Line | 11350 MCCORMICK EP 3 RD STE LL4
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City | HUNT VALLEY
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State | MD
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Zip | 21031-8916
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | JONATHAN MICHAEL HERSHFIELD
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Credential | MFT
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Telephone | 410-927-5462
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LCM524
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License Number State | MD
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