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General NPI Number Information
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NPI Number | 1083877625
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF MARYLAND PSYCHIATRY ASSOCIATES PA
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Dates
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Enumeration Date | 07/03/2008
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Last Update Date | 07/03/2008
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Provider Practice Location Address
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Address Line | 701 W PRATT ST
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City | BALTIMORE
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State | MD
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Zip | 21201-1023
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Country | US
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Telephone | 717-428-0552
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Fax |
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Provider Business Mailing Address
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Address Line | 701 W PRATT ST
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City | BALTIMORE
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State | MD
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Zip | 21201-1023
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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 | BILLING DIRECTOR
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Name | KIM ERSKINE
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Credential |
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Telephone | 717-428-0552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | O4169
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License Number State | MD
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