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General NPI Number Information
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NPI Number | 1750026076
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Entity Type | Individual
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Provider Name | SAMANTHA TODOROVICH M.ED, LGPC
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Gender | Female
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Dates
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Enumeration Date | 05/02/2022
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 565 LIVONIA AVE
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City | BROOKLYN
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State | NY
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Zip | 11207-5209
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Country | US
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Telephone | 646-465-5352
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Fax |
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Provider Business Mailing Address
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Address Line | 703 CATHEDRAL ST STE 1R
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City | BALTIMORE
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State | MD
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Zip | 21201-5297
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Country | US
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Telephone | 410-302-9500
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LGP15497
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License Number State | MD
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