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General NPI Number Information
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NPI Number | 1750447033
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Entity Type | Organization
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Legal Business Name | PIECES OF THE PUZZLE, LLC
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6030 DAYBREAK CIR STE. A-150, #283
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City | CLARKSVILLE
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State | MD
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Zip | 21029-1642
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Country | US
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Telephone | 410-218-3458
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Fax |
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Provider Business Mailing Address
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Address Line | 6030 DAYBREAK CIR STE. A-150, #283
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City | CLARKSVILLE
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State | MD
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Zip | 21029-1642
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MICHAEL LAWLER
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Credential |
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Telephone | 410-218-3458
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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