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General NPI Number Information
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NPI Number | 1932069135
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Entity Type | Organization
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Legal Business Name | SPARROW THERAPEUTIC SERVICES LLC
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Dates
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Enumeration Date | 11/12/2025
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 18131 CHALET DR
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City | GERMANTOWN
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State | MD
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Zip | 20874-2370
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Country | US
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Telephone | 570-846-1529
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Fax |
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Provider Business Mailing Address
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Address Line | 18131 CHALET DR
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City | GERMANTOWN
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State | MD
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Zip | 20874-2370
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Country | US
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Telephone | 570-846-1529
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHAMARA QUINONEZ
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Credential | LCSW-C
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Telephone | 570-846-1529
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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 |
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License Number State |
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