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General NPI Number Information
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NPI Number | 1962997098
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Entity Type | Individual
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Provider Name | CHARITY ANN HUMM LGPC
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Gender | Female
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Dates
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Enumeration Date | 07/01/2018
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Last Update Date | 07/01/2018
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Provider Practice Location Address
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Address Line | 22776 THREE NOTCH RD STE 102
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City | LEXINGTON PARK
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State | MD
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Zip | 20653-3369
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Country | US
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Telephone | 301-880-4833
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Fax |
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Provider Business Mailing Address
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Address Line | 6050 FIR RD
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City | SAINT LEONARD
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State | MD
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Zip | 20685-2512
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Country | US
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Telephone | 216-903-0712
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LGP7874
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License Number State | MD
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