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General NPI Number Information
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NPI Number | 1992056329
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Entity Type | Individual
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Provider Name | JULIE MARKS KOTLER LCPC, ATR-BC
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Gender | Female
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Dates
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Enumeration Date | 09/25/2012
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Last Update Date | 11/05/2012
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Provider Practice Location Address
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Address Line | 5401 TWIN KNOLLS RD STE 9 THE CLUSTERS AT TWIN KNOLLS
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City | COLUMBIA
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State | MD
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Zip | 21045-3257
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Country | US
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Telephone | 301-793-1520
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Fax |
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Provider Business Mailing Address
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Address Line | 5401 TWIN KNOLLS RD STE 9 THE CLUSTERS AT TWIN KNOLLS
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City | COLUMBIA
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State | MD
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Zip | 21045-3257
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Country | US
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Telephone | 301-793-1520
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LC4565
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License Number State | MD
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