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General NPI Number Information
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NPI Number | 1548296023
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Entity Type | Organization
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Legal Business Name | FAMILY AND COUPLE THERAPY SERVICES, INC.
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2018 ROCK SPRING RD A-6
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City | FOREST HILL
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State | MD
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Zip | 21050-2631
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Country | US
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Telephone | 410-838-2493
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Fax | 410-838-2597
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Provider Business Mailing Address
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Address Line | 2018 ROCK SPRING RD A-6
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City | FOREST HILL
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State | MD
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Zip | 21050-2631
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Country | US
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Telephone | 410-838-2493
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Fax | 410-838-2597
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ALFRED JERRY TAYLOR
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Credential | LCMFT
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Telephone | 410-838-2493
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LCM003
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LCM002
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License Number State | MD
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