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General NPI Number Information
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NPI Number | 1427650431
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Entity Type | Individual
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Provider Name | MIANA BRYANT
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Gender | Female
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Dates
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Enumeration Date | 11/13/2020
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 5550 STERRETT PL STE 200
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City | COLUMBIA
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State | MD
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Zip | 21044-2626
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Country | US
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Telephone | 410-884-6031
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Fax |
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Provider Business Mailing Address
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Address Line | 903 BRIGHTSEAT RD
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City | LANDOVER
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State | MD
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Zip | 20785-4725
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Country | US
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Telephone | 301-333-2980
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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 | 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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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | LG200001884
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License Number State | DC
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