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General NPI Number Information
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NPI Number | 1659874139
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Entity Type | Individual
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Provider Name | ELIZABETH ASHLEY DOLAN LCPC
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Gender | Female
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Dates
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Enumeration Date | 03/12/2018
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Last Update Date | 03/12/2018
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Provider Practice Location Address
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Address Line | 9256 BENDIX RD STE 200B
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City | COLUMBIA
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State | MD
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Zip | 21045-1848
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Country | US
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Telephone | 443-542-0773
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Fax |
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Provider Business Mailing Address
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Address Line | 521 S BRADFORD ST
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City | BALTIMORE
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State | MD
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Zip | 21224-3605
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Country | US
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Telephone | 443-614-9080
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LC8333
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License Number State | MD
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