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NPI 1457548059

NPI 1457548059 : CHERYL YVONNE FISHER MS NCC LGPC : SEVERNA PARK, MD

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General NPI Number Information
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    NPI Number           |    1457548059
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    Entity Type          |    Individual 
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    Provider Name        |    CHERYL YVONNE FISHER MS NCC LGPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/27/2007
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    Last Update Date     |    09/27/2007
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Provider Practice Location Address
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    Address Line         |    645 BALTIMORE-ANNAPOLIS BLVD SUITE 107
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    City                 |    SEVERNA PARK
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    State                |    MD
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    Zip                  |    21146
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    Country              |    US
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    Telephone            |    443-223-5889
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1717 NIMITZ DR 
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    City                 |    ANNAPOLIS
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    State                |    MD
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    Zip                  |    21401
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    Country              |    US
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    Telephone            |    443-223-5889
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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        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    LGP400
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    License Number State |    MD
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