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General NPI Number Information
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NPI Number | 1679967426
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Entity Type | Individual
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Provider Name | ERICA SACCHETTI LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 03/18/2015
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Last Update Date | 03/18/2015
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Provider Practice Location Address
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Address Line | 604 SOLAREX CT UNIT 201
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City | FREDERICK
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State | MD
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Zip | 21703-8655
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Country | US
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Telephone | 240-674-9272
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Fax |
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Provider Business Mailing Address
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Address Line | 6501 N CHARLES ST
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City | TOWSON
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State | MD
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Zip | 21204-6819
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Country | US
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Telephone | 240-674-9272
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 17174
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License Number State | MD
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