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General NPI Number Information
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NPI Number | 1811841505
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Entity Type | Organization
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Legal Business Name | RAINBOW PATHWAYS LLC
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Dates
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Enumeration Date | 02/21/2026
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Last Update Date | 02/21/2026
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Provider Practice Location Address
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Address Line | 3570 OLNEY LAYTONSVILLE RD # 1704
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City | OLNEY
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State | MD
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Zip | 20832-9998
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Country | US
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Telephone | 443-808-0106
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Fax |
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Provider Business Mailing Address
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Address Line | 3570 OLNEY LAYTONSVILLE RD # 1704
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City | OLNEY
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State | MD
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Zip | 20832-9998
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Country | US
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Telephone | 443-808-0106
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHANNON BARTH
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Credential | LCSW-C
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Telephone | 301-366-7245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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