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General NPI Number Information
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NPI Number | 1962052878
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Entity Type | Individual
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Provider Name | CHINITA MONE'E COLBERT
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Gender | Female
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Dates
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Enumeration Date | 09/13/2019
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Last Update Date | 05/03/2023
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Provider Practice Location Address
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Address Line | 2905 MITCHELLVILLE RD STE 204
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City | BOWIE
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State | MD
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Zip | 20716-3961
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Country | US
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Telephone | 301-701-6965
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Fax |
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Provider Business Mailing Address
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Address Line | 5230 TUCKERMAN LN APT 922
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City | NORTH BETHESDA
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State | MD
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Zip | 20852-3862
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Country | US
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Telephone | 301-213-8347
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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 | LGP13769
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LGPC200001511
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License Number State | DC
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