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General NPI Number Information
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NPI Number | 1922340728
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Entity Type | Individual
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Provider Name | DORIA AHMANSON MSW, LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 03/20/2013
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Last Update Date | 07/31/2018
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Provider Practice Location Address
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Address Line | 8850 COLUMBIA 100 PKWY STE 203
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City | COLUMBIA
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State | MD
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Zip | 21045
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Country | US
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Telephone | 443-546-4476
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Fax | 443-546-4473
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Provider Business Mailing Address
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Address Line | 8850 COLUMBIA 100 PKWY STE 203
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City | COLUMBIA
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State | MD
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Zip | 21045-2376
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Country | US
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Telephone | 443-546-4476
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Fax | 443-546-4473
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 15045
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License Number State | MD
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