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General NPI Number Information
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NPI Number | 1972878874
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Entity Type | Organization
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Legal Business Name | SOLUTIONS FOR MINDFULNESS, PA
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Dates
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Enumeration Date | 03/12/2012
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Last Update Date | 03/12/2012
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Provider Practice Location Address
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Address Line | 10801 HICKORY RIDGE RD SUITE 210
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City | COLUMBIA
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State | MD
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Zip | 21044-3869
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Country | US
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Telephone | 410-982-6506
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Fax | 717-428-0518
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Provider Business Mailing Address
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Address Line | PO BOX 62670
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City | BALTIMORE
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State | MD
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Zip | 21264-2670
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Country | US
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Telephone | 410-982-6506
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Fax | 717-428-0518
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MRS. KIM ERSKINE
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Credential |
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Telephone | 717-428-0552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 11814
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License Number State | MD
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