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General NPI Number Information
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NPI Number | 1770394249
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Entity Type | Individual
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Provider Name | NUMOIPRE PAMELA ROBERTS LMSW
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Gender | Female
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Dates
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Enumeration Date | 01/15/2025
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 300 MERCANTILE LANE UNIT 208
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City | LARGO
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State | MD
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Zip | 20774
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Country | US
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Telephone | 301-583-0001
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Fax |
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Provider Business Mailing Address
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Address Line | 1205 PALMER RD APT 10
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City | FORT WASHINGTON
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State | MD
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Zip | 20744-7128
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Country | US
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Telephone | 301-278-8159
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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 | 24578
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 24578
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License Number State | MD
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