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General NPI Number Information
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NPI Number | 1861760399
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Entity Type | Individual
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Provider Name | DENISE MULCRONE OCONNOR M.S., LCPC
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Gender | Female
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Dates
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Enumeration Date | 12/12/2011
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Last Update Date | 12/12/2011
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Provider Practice Location Address
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Address Line | 2 W ROLLING CROSSROADS STE 209
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City | CATONSVILLE
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State | MD
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Zip | 21228-6209
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Country | US
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Telephone | 410-719-0086
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Fax | 443-341-6218
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Provider Business Mailing Address
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Address Line | 3832 DAHLGREN CT
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City | ELLICOTT CITY
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State | MD
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Zip | 21042-4943
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Country | US
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Telephone | 410-302-0658
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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 | LC2430
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License Number State | MD
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