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General NPI Number Information
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NPI Number | 1851728885
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Entity Type | Individual
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Provider Name | CATHERINE JANE EATON LCPC
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Gender | Female
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Dates
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Enumeration Date | 10/04/2013
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Last Update Date | 04/30/2014
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Provider Practice Location Address
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Address Line | 915 RUSSELL AVE STE B
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City | GAITHERSBURG
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State | MD
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Zip | 20879-6200
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Country | US
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Telephone | 240-401-8686
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Fax | 888-977-1530
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Provider Business Mailing Address
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Address Line | 20402 HONEY CRISP LN SUITE O
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City | GERMANTOWN
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State | MD
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Zip | 20876-4094
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Country | US
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Telephone | 240-401-8686
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LC5355
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License Number State | MD
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