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General NPI Number Information
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NPI Number | 1881197994
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Entity Type | Organization
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Legal Business Name | BMORE COUNSELING
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Dates
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Enumeration Date | 03/14/2018
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Last Update Date | 03/14/2018
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Provider Practice Location Address
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Address Line | 6600 YORK RD STE 109
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City | BALTIMORE
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State | MD
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Zip | 21212-2092
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Country | US
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Telephone | 240-461-8436
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Fax |
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Provider Business Mailing Address
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Address Line | 331 HOMELAND SOUTHWAY APT 1B
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City | BALTIMORE
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State | MD
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Zip | 21212-3266
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Country | US
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Telephone | 240-461-8436
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | JANET BRADLEY
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Credential | LCPC
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Telephone | 240-461-8436
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number | LC4922
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LC4922
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License Number State | MD
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