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General NPI Number Information
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NPI Number | 1093804015
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Entity Type | Individual
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Provider Name | JOHN R. LION M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2 VILLAGE SQ SUITE 217
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City | BALTIMORE
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State | MD
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Zip | 21210-1624
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Country | US
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Telephone | 410-433-6333
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Fax | 410-433-4900
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Provider Business Mailing Address
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Address Line | 3303 FALLSTAFF RD
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City | BALTIMORE
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State | MD
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Zip | 21215-1722
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Country | US
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Telephone | 410-358-4204
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Fax | 410-358-8679
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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 | D0012570
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License Number State | MD
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