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General NPI Number Information
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NPI Number | 1508574542
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Entity Type | Individual
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Provider Name | WILLIAM EDWARD PICKERAL JR. LMSW
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Gender | Male
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Dates
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Enumeration Date | 11/08/2022
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Last Update Date | 11/08/2022
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Provider Practice Location Address
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Address Line | 10605 CONCORD ST
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City | KENSINGTON
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State | MD
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Zip | 20895-2504
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Country | US
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Telephone | 301-231-9001
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Fax | 301-231-9001
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Provider Business Mailing Address
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Address Line | 7533 MAIN ST STE 1F
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City | SYKESVILLE
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State | MD
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Zip | 21784-5308
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Country | US
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Telephone | 410-935-5140
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | MD
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