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General NPI Number Information
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NPI Number | 1548214661
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Entity Type | Individual
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Provider Name | ROSE M EDWARDS LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 05/02/2018
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Provider Practice Location Address
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Address Line | 2360 W. JOPPA RD. STE 229
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City | LUTHERVILLE
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State | MD
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Zip | 21093
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Country | US
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Telephone | 443-900-7145
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Fax |
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Provider Business Mailing Address
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Address Line | 720 HOLLEN RD
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City | BALTIMORE
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State | MD
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Zip | 21212-2718
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Country | US
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Telephone | 410-350-4183
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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 | 06038
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License Number State | MD
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