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General NPI Number Information
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NPI Number | 1932725900
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Entity Type | Individual
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Provider Name | RHONDA M HACKLEY LGPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 06/24/2020
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Last Update Date | 06/24/2020
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Provider Practice Location Address
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Address Line | 3327 SUPERIOR LN STE 206
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City | BOWIE
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State | MD
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Zip | 20715-1941
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Country | US
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Telephone | 240-206-8345
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Fax |
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Provider Business Mailing Address
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Address Line | 6121 GRENFELL LOOP
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City | BOWIE
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State | MD
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Zip | 20720-5338
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Country | US
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Telephone | 301-464-7398
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Fax |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LGP9800
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License Number State | MD
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