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General NPI Number Information
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NPI Number | 1619686367
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Entity Type | Organization
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Legal Business Name | JAMIRE MERRICK
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Dates
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Enumeration Date | 11/22/2022
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Last Update Date | 11/22/2022
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Provider Practice Location Address
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Address Line | 822 GUILFORD AVE # 1637
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City | BALTIMORE
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State | MD
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Zip | 21202-3707
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Country | US
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Telephone | 443-863-8424
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Fax |
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Provider Business Mailing Address
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Address Line | 5507 WESLEY AVE
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City | BALTIMORE
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State | MD
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Zip | 21207-6825
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Country | US
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Telephone | 443-872-1913
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JAMIRE MERRICK
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Credential | LCSW-C
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Telephone | 443-872-1913
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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 |
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License Number State |
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