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General NPI Number Information
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NPI Number | 1568915114
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Entity Type | Individual
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Provider Name | SANDRA ALJAMI
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Gender | Female
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Dates
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Enumeration Date | 08/01/2016
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Last Update Date | 08/01/2016
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Provider Practice Location Address
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Address Line | 2305 ROSECROFT BLVD
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City | FT WASHINGTON
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State | MD
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Zip | 20744-3262
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Country | US
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Telephone | 240-463-9409
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Fax | 301-686-0192
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Provider Business Mailing Address
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Address Line | 2305 ROSECROFT BLVD
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City | FT WASHINGTON
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State | MD
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Zip | 20744-3262
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Country | US
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Telephone | 240-463-9409
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Fax | 301-686-0192
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LC 1752
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LC 1752
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License Number State | MD
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