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General NPI Number Information
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NPI Number | 1720258759
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Entity Type | Individual
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Provider Name | LAVAUGHN MAURICE TURNER LCSW-C
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Gender | Male
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Dates
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Enumeration Date | 03/05/2008
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 1300 MERCANTILE LN STE 208
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City | LARGO
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State | MD
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Zip | 20774-5340
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Country | US
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Telephone | 301-583-0001
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Fax | 301-583-3403
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Provider Business Mailing Address
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Address Line | 1300 MERCANTILE LN STE 208
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City | LARGO
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State | MD
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Zip | 20774-5340
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Country | US
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Telephone | 301-583-0001
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Fax | 301-583-3403
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 11017
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 0029858 00
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License Number State | MD
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