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NPI 1952816993

NPI 1952816993 : RABINOWITZ COUNSELING SERVICES, LLC : BALTIMORE, MD

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General NPI Number Information
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    NPI Number           |    1952816993
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    Entity Type          |    Organization 
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    Legal Business Name  |    RABINOWITZ COUNSELING SERVICES, LLC 
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Dates
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    Enumeration Date     |    12/13/2017
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    Last Update Date     |    12/13/2017
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Provider Practice Location Address
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    Address Line         |    104 CHURCH LN STE 105 
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21208-3786
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    Country              |    US
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    Telephone            |    410-736-8118
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    Fax                  |    410-736-8118
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Provider Business Mailing Address
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    Address Line         |    6710 DARWOOD DR 
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21209-1448
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    Country              |    US
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    Telephone            |    410-736-8118
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     LISA DAWN RABINOWITZ 
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    Credential           |    LCPC
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    Telephone            |    410-736-8118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    LC4385
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    License Number State |    MD
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