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General NPI Number Information
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NPI Number | 1609298694
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Entity Type | Organization
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Legal Business Name | COLEMAN & ASSOCIATES
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Dates
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Enumeration Date | 01/10/2014
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Last Update Date | 01/10/2014
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Provider Practice Location Address
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Address Line | 6630 BALTIMORE NATIONAL PIKE # S205B
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City | CATONSVILLE
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State | MD
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Zip | 21228-3920
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Country | US
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Telephone | 410-744-7076
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Fax | 410-744-9563
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Provider Business Mailing Address
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Address Line | 6630 BALTIMORE NATIONAL PIKE # S205B
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City | CATONSVILLE
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State | MD
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Zip | 21228-3920
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Country | US
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Telephone | 410-744-7076
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Fax | 410-744-9563
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Authorized Official
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Title or Position | OWNER
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Name | STEFANIE COLEMAN
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Credential |
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Telephone | 410-744-7076
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 09732
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License Number State | MD
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