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General NPI Number Information
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NPI Number | 1962035758
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Entity Type | Organization
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Legal Business Name | TURNTABLE COUNSELING, LLC
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Dates
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Enumeration Date | 02/19/2020
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Last Update Date | 03/13/2020
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Provider Practice Location Address
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Address Line | 11720 BELTSVILLE DR STE 500-A4
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City | BELTSVILLE
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State | MD
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Zip | 20705-3166
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Country | US
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Telephone | 240-755-8089
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Fax | 202-217-4444
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Provider Business Mailing Address
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Address Line | PO BOX 83458
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City | GAITHERSBURG
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State | MD
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Zip | 20883-3458
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. PRINCESS SOUVENIR-WIEDEMANN
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Credential | LCPC
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Telephone | 240-755-8089
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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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