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General NPI Number Information
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NPI Number | 1821598616
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Entity Type | Organization
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Legal Business Name | ORGANIZATIONAL PATHWAYS, LLC
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Dates
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Enumeration Date | 02/18/2018
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Last Update Date | 08/08/2018
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Provider Practice Location Address
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Address Line | 2306 MOUNT ROYAL TER APT 1A
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City | BALTIMORE
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State | MD
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Zip | 21217
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Country | US
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Telephone | 443-602-5373
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Fax |
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Provider Business Mailing Address
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Address Line | 2306 MOUNT ROYAL TER APT 1A
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City | BALTIMORE
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State | MD
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Zip | 21217-4813
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Country | US
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Telephone | 443-602-5373
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. BYRAN TAVON LEE
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Credential |
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Telephone | 443-602-5373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | MD
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