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General NPI Number Information
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NPI Number | 1902551997
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Entity Type | Organization
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Legal Business Name | REFRESHING OASIS COUNSELING & COACHING LLC
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Dates
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Enumeration Date | 02/17/2022
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Last Update Date | 02/17/2022
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Provider Practice Location Address
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Address Line | 831 JARRETT LN
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City | GLEN BURNIE
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State | MD
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Zip | 21060-7595
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Country | US
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Telephone | 919-395-1092
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Fax |
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Provider Business Mailing Address
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Address Line | 831 JARRETT LN
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City | GLEN BURNIE
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State | MD
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Zip | 21060-7595
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Country | US
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Telephone | 919-395-1092
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. FAITH ELIZABETH DAVIS
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Credential | LCSW-C, LCSW,MAC
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Telephone | 919-395-1092
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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