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General NPI Number Information
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NPI Number | 1992071708
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Entity Type | Organization
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Legal Business Name | THE ANS GROUP, LLC
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Dates
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Enumeration Date | 03/26/2012
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Last Update Date | 03/26/2012
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Provider Practice Location Address
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Address Line | 2114 N CHARLES ST SUITE 200
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City | BALTIMORE
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State | MD
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Zip | 21218-5765
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Country | US
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Telephone | 410-929-5711
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Fax |
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Provider Business Mailing Address
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Address Line | 6940 S CARLINDA AVE
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City | COLUMBIA
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State | MD
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Zip | 21046-1310
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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 | PARTNER
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Name | MRS. STACEY HAMRO
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Credential |
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Telephone | 410-292-5073
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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 | 09106
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License Number State | MD
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