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General NPI Number Information
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NPI Number | 1013431964
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Entity Type | Individual
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Provider Name | SHEILAH S. MARAMARK THOMAS
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Gender | Female
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Dates
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Enumeration Date | 08/02/2017
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Last Update Date | 08/02/2017
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Provider Practice Location Address
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Address Line | 1102 BARNABY TER SE
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City | WASHINGTON
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State | DC
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Zip | 20032-4301
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Country | US
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Telephone | 301-297-7541
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Fax | 301-297-7541
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Provider Business Mailing Address
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Address Line | 8787 BRANCH AVE STE 354
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City | CLINTON
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State | MD
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Zip | 20735-2630
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Country | US
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Telephone | 202-236-8967
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Fax | 301-234-6338
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY1612
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 103TA0700X
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Taxonomy Name | Adult Development & Aging Psychologist
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License Number | PSY1612
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY1612
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License Number State | DC
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