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General NPI Number Information
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NPI Number | 1538812268
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Entity Type | Individual
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Provider Name | MAUREEN LAURA MCALLISTER BS, E-RYT 500, YACEP
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Gender | Female
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Dates
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Enumeration Date | 02/02/2022
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Last Update Date | 02/02/2022
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Provider Practice Location Address
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Address Line | 23330 FREDERICK RD FL 3
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City | CLARKSBURG
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State | MD
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Zip | 20871-9704
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Country | US
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Telephone | 301-802-4993
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Fax |
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Provider Business Mailing Address
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Address Line | 15 TURKEY FOOT CT
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City | DARNESTOWN
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State | MD
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Zip | 20878-3645
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Country | US
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Telephone | 301-802-4993
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number | 281894
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License Number State | MD
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