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General NPI Number Information
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NPI Number | 1568689891
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Entity Type | Individual
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Provider Name | JOHN DENDE LCPC
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Gender | Male
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 07/03/2008
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Provider Practice Location Address
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Address Line | 909 DRUID PARK LAKE DR
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City | BALTIMORE
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State | MD
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Zip | 21217-4531
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Country | US
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Telephone | 301-910-4357
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Fax | 301-530-4020
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Provider Business Mailing Address
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Address Line | 10402 SUMMIT AVE
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City | KENSINGTON
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State | MD
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Zip | 20895-3926
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Country | US
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Telephone | 301-910-4357
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Fax | 301-530-4020
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LC1650
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License Number State | MD
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