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General NPI Number Information
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NPI Number | 1700577897
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Entity Type | Individual
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Provider Name | CHRISTINA MARIE DARWIN LGPC, LGADC
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Gender | Female
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Dates
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Enumeration Date | 05/18/2023
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Last Update Date | 05/18/2023
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Provider Practice Location Address
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Address Line | 800 TYDINGS LN
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City | HAVRE DE GRACE
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State | MD
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Zip | 21078-2102
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Country | US
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Telephone | 410-273-2230
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Fax |
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Provider Business Mailing Address
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Address Line | 330 PARK AVE
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City | MAPLE SHADE
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State | NJ
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Zip | 08052-2254
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Country | US
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Telephone | 267-250-8302
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LGA3192
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LGP11766
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License Number State | MD
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