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General NPI Number Information
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NPI Number | 1972730596
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Entity Type | Individual
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Provider Name | STEPHNIE M THOMAS M.S., N.C.C., L.C.PC
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Gender | Female
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Dates
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Enumeration Date | 06/22/2009
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Last Update Date | 04/26/2013
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Provider Practice Location Address
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Address Line | 77 E MAIN ST SUITE 204
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City | WESTMINSTER
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State | MD
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Zip | 21157-5037
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Country | US
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Telephone | 410-236-1470
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Fax | 410-751-2090
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Provider Business Mailing Address
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Address Line | 77 E MAIN ST SUITE 204
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City | WESTMINSTER
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State | MD
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Zip | 21157-5037
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Country | US
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Telephone | 410-236-1470
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Fax | 410-751-2090
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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 | 240153 (NBCC)
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LC4083
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License Number State | MD
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