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General NPI Number Information
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NPI Number | 1982127650
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Entity Type | Individual
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Provider Name | MRS. MARYELIZABETH ANNE KURZ
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Gender | Female
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Dates
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Enumeration Date | 07/25/2017
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Last Update Date | 05/29/2020
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Provider Practice Location Address
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Address Line | 7207 BALTIMORE ANNAPOLIS BLVD
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City | GLEN BURNIE
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State | MD
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Zip | 21061-2684
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Country | US
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Telephone | 609-351-1557
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Fax |
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Provider Business Mailing Address
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Address Line | 712 S DEAN ST
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City | BALTIMORE
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State | MD
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Zip | 21224-4351
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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 |
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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 | LC10445
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License Number State | MD
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