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General NPI Number Information
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NPI Number | 1518651231
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Entity Type | Individual
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Provider Name | CHRISTOPHER B MICHAELS LMSW
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Gender | Male
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Dates
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Enumeration Date | 06/06/2023
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Last Update Date | 06/08/2023
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Provider Practice Location Address
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Address Line | 10810 DARNESTOWN RD STE 103
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City | NORTH POTOMAC
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State | MD
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Zip | 20878-2604
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Country | US
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Telephone | 301-869-1017
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Fax |
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Provider Business Mailing Address
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Address Line | 12630 ROLLING RD
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City | POTOMAC
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State | MD
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Zip | 20854-1963
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Country | US
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Telephone | 323-448-5077
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | LG200001818
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License Number State | DC
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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 | 28286
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License Number State | MD
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