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General NPI Number Information
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NPI Number | 1497059448
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Entity Type | Individual
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Provider Name | ELIZABETH ADETUTU COKER-NNAM M.A, NCC, LCPC
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Gender | Female
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Dates
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Enumeration Date | 01/05/2011
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Last Update Date | 01/05/2011
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Provider Practice Location Address
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Address Line | 6128 LANDOVER RD
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City | CHEVERLY
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State | MD
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Zip | 20785-1016
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Country | US
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Telephone | 301-793-8739
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Fax |
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Provider Business Mailing Address
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Address Line | 13806 CAPTAIN MARBURY LN
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City | UPPER MARLBORO
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State | MD
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Zip | 20772-6128
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Country | US
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Telephone | 301-793-8739
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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 | LC3070
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License Number State | MD
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