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General NPI Number Information
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NPI Number | 1649407305
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Entity Type | Individual
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Provider Name | PIPPA MCCULLOUGH MSW - LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 06/19/2009
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Last Update Date | 09/17/2010
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Provider Practice Location Address
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Address Line | 1201 PEMBERTON DRIVE SUITE 1-A CATHOLIC CHARITIES INC
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City | SALISBURY
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State | MD
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Zip | 21801
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Country | US
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Telephone | 410-546-0508
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Fax | 410-543-0510
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Provider Business Mailing Address
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Address Line | 2601 W 4TH ST P. O. BOX 2610
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City | WILMINGTON
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State | DE
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Zip | 19805-3309
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Country | US
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Telephone | 410-546-0508
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Fax | 410-543-0510
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 13376
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License Number State | MD
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