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General NPI Number Information
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NPI Number | 1568719631
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Entity Type | Organization
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Legal Business Name | PEOPLES CHOICE COUNSELING AND HEALTH SERVICES INC
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Dates
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Enumeration Date | 08/08/2012
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Last Update Date | 08/08/2012
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Provider Practice Location Address
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Address Line | 13201 TANEY DR
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City | BELTSVILLE
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State | MD
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Zip | 20705-3254
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Country | US
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Telephone | 301-503-6623
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Fax | 301-969-1459
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Provider Business Mailing Address
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Address Line | 7305 BALTIMORE AVE SUITE@103
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City | COLLEGE PARK
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State | MD
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Zip | 20740-3234
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Country | US
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Telephone | 301-969-1458
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Fax | 301-969-1459
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER/THERAPIST
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Name | MR. BINU ABRAHAM
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Credential | MSW, LICSW, LCSW-C
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Telephone | 301-503-6623
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | D14745079
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License Number State | MD
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