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General NPI Number Information
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NPI Number | 1639443963
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Entity Type | Organization
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Legal Business Name | FAMILY ADVOCACY NETWORK, INC.
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Dates
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Enumeration Date | 03/05/2012
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Last Update Date | 03/05/2012
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Provider Practice Location Address
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Address Line | 8601 MARTIN LUTHER KING JR HWY STE 4
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City | LANHAM
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State | MD
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Zip | 20706-1560
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Country | US
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Telephone | 301-322-1238
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Fax | 301-322-1239
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Provider Business Mailing Address
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Address Line | 8601 MARTIN LUTHER KING JR HWY STE 4
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City | LANHAM
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State | MD
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Zip | 20706-1560
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Country | US
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Telephone | 301-322-1238
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Fax | 301-322-1239
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MS. LINDA MARIE CARTER
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Credential | LPC
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Telephone | 301-322-1238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | PRC350
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 01027
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License Number State | MD
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