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General NPI Number Information
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NPI Number | 1457839037
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Entity Type | Individual
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Provider Name | JACLYN BISCOE LCPC
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Gender | Female
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Dates
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Enumeration Date | 08/05/2018
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Last Update Date | 05/13/2021
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Provider Practice Location Address
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Address Line | 21945 THREE NOTCH RD STE 102
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City | LEXINGTON PARK
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State | MD
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Zip | 20653-1563
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Country | US
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Telephone | 301-690-5509
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Fax |
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Provider Business Mailing Address
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Address Line | 20815 INDIAN BRIDGE RD
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City | CALIFORNIA
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State | MD
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Zip | 20619-2310
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Country | US
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Telephone | 301-690-5509
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LC11435
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LGP8671
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License Number State | MD
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