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General NPI Number Information
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NPI Number | 1609321843
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Entity Type | Organization
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Legal Business Name | MY EMPOWERING IMPACT
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Dates
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Enumeration Date | 08/17/2016
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 7703 BELLE POINT DR
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City | GREENBELT
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State | MD
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Zip | 20770-3300
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Country | US
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Telephone | 443-379-4545
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1855
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City | OWINGS MILLS
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State | MD
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Zip | 21117-1833
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Country | US
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Telephone | 443-379-4545
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Fax | 443-548-2778
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Authorized Official
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Title or Position | BILLING AND UTILIZATION
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Name | LASHADA LEE
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Credential |
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Telephone | 240-510-8562
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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 | 19339
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License Number State | MD
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