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General NPI Number Information
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NPI Number | 1992370043
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Entity Type | Individual
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Provider Name | GALE LYNN VANHOUTEN LMSW
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Gender | Female
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Dates
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Enumeration Date | 05/21/2021
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Last Update Date | 05/21/2021
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Provider Practice Location Address
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Address Line | 12500 WILLOWBROOK RD
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City | CUMBERLAND
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State | MD
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Zip | 21502-6393
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Country | US
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Telephone | 240-964-1399
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 413
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City | WILEY FORD
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State | WV
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Zip | 26767-0413
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Country | US
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Telephone | 301-784-6162
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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 | 26912
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License Number State | MD
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