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General NPI Number Information
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NPI Number | 1790003564
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Entity Type | Organization
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Legal Business Name | STEPHANIE WEILAND LLC
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Dates
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Enumeration Date | 05/04/2010
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Last Update Date | 05/07/2010
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Provider Practice Location Address
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Address Line | 9660 IRON LEAF TRAIL
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City | LAUREL
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State | MD
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Zip | 20723
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Country | US
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Telephone | 301-490-1011
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Fax | 301-490-1484
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Provider Business Mailing Address
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Address Line | PO BOX 473
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City | FULTON
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State | MD
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Zip | 20759
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Country | US
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Telephone | 301-490-1011
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Fax | 301-490-1484
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEPHANIE WEILAND KNARR
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Credential | PHD LCMFT
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Telephone | 301-490-1011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LCM174
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License Number State | MD
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