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General NPI Number Information
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NPI Number | 1730358730
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Entity Type | Individual
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Provider Name | RAINE M A ARNDT-COUCH LCSW, LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 02/22/2008
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Last Update Date | 04/08/2020
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Provider Practice Location Address
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Address Line | 111 ADMIRALS RIDGE DR
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City | ARNOLD
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State | MD
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Zip | 21012-2142
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Country | US
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Telephone | 808-218-8947
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Fax |
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Provider Business Mailing Address
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Address Line | 111 ADMIRALS RIDGE DR
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City | ARNOLD
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State | MD
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Zip | 21012-2142
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Country | US
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Telephone | 808-218-8947
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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 | 24418
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 3699
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 73860
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License Number State | CA
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