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General NPI Number Information
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NPI Number | 1932126760
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Entity Type | Organization
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Legal Business Name | MPB GROUP, INC.
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9650 SANTIAGO RD STE 11
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City | COLUMBIA
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State | MD
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Zip | 21045-3960
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Country | US
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Telephone | 410-730-4807
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Fax | 410-730-2385
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Provider Business Mailing Address
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Address Line | 9650 SANTIAGO RD STE 11
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City | COLUMBIA
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State | MD
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Zip | 21045-3960
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Country | US
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Telephone | 410-730-4807
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Fax | 410-730-2385
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Authorized Official
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Title or Position | CEO/CLINICAL EXEC. DIRECTOR
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Name | DR. MAGALIE PIOU-BREWER
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Credential | LCPC
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Telephone | 41073048078
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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