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General NPI Number Information
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NPI Number | 1609520840
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Entity Type | Organization
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Legal Business Name | VITA MATTERS THERAPY
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Dates
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Enumeration Date | 02/07/2022
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Last Update Date | 02/07/2022
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Provider Practice Location Address
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Address Line | 9701 APOLLO DR STE 100
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City | LARGO
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State | MD
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Zip | 20774-4785
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Country | US
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Telephone | 443-618-1100
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Fax | 301-262-3696
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Provider Business Mailing Address
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Address Line | PO BOX 93
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City | GLENN DALE
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State | MD
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Zip | 20769-0093
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Country | US
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Telephone | 443-618-1100
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Fax | 301-262-3696
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Authorized Official
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Title or Position | CEO
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Name | MS. VELMA MARIE TAYLOR
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Credential | LCPC
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Telephone | 445-995-9835
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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