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General NPI Number Information
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NPI Number | 1093028300
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Entity Type | Individual
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Provider Name | LISA KEBEJIAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/16/2010
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Last Update Date | 02/22/2022
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Provider Practice Location Address
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Address Line | 7801 YORK RD STE 230
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City | TOWSON
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State | MD
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Zip | 21204-7448
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Country | US
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Telephone | 410-832-3661
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Fax |
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Provider Business Mailing Address
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Address Line | 9805B YORK RD STE 180
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City | COCKEYSVILLE
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State | MD
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Zip | 21030-4913
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Country | US
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Telephone | 410-832-3661
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | D0075517
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License Number State | MD
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