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General NPI Number Information
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NPI Number | 1912373150
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Entity Type | Organization
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Legal Business Name | OPEN ARMS COMMUNITY SERVICE CENTER
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Dates
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Enumeration Date | 08/11/2015
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Last Update Date | 08/11/2015
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Provider Practice Location Address
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Address Line | 5120 WHITFIELD CHAPEL RD
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City | LANHAM
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State | MD
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Zip | 20706-1902
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Country | US
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Telephone | 301-577-4882
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Fax |
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Provider Business Mailing Address
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Address Line | 8006 OAT RIDGE CT
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City | BOWIE
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State | MD
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Zip | 20715-4620
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Country | US
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Telephone | 301-577-4882
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. CHARLES E. CATO SR.
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Credential |
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Telephone | 301-577-4880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 11890
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LC4285
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License Number State | MD
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