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General NPI Number Information
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NPI Number | 1649749185
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Entity Type | Individual
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Provider Name | JENNIFER WYNN SAUERS LCPC
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Gender | Female
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Dates
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Enumeration Date | 11/14/2018
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Last Update Date | 11/14/2018
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Provider Practice Location Address
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Address Line | 2700 WASHINGTON AVE
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City | BALTIMORE
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State | MD
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Zip | 21227-3115
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Country | US
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Telephone | 667-600-3985
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Fax | 667-600-4065
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Provider Business Mailing Address
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Address Line | 7009 JEWELED HAND CIR
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City | COLUMBIA
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State | MD
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Zip | 21044-4904
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Country | US
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Telephone | 443-564-9136
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Fax |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LC8637
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License Number State | MD
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