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General NPI Number Information
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NPI Number | 1598819260
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Entity Type | Individual
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Provider Name | BECKY K. ACKLIN M.S.W., LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4400 E WEST HWY STE 720
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City | BETHESDA
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State | MD
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Zip | 20814-4509
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Country | US
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Telephone | 301-257-4852
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Fax |
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Provider Business Mailing Address
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Address Line | 14705 MOCKINGBIRD DR
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City | DARNESTOWN
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State | MD
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Zip | 20874-3341
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Country | US
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Telephone | 301-963-0763
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Fax | 240-683-1341
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MD09248
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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 | LC00302894
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License Number State | DC
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