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General NPI Number Information
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NPI Number | 1154602308
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Entity Type | Individual
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Provider Name | AARON M SAWYER PH.D.
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Gender | Male
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Dates
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Enumeration Date | 09/01/2011
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Last Update Date | 07/30/2013
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Provider Practice Location Address
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Address Line | 707 N BROADWAY
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City | BALTIMORE
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State | MD
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Zip | 21205-1832
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Country | US
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Telephone | 443-923-7480
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Fax | 443-923-7505
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Provider Business Mailing Address
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Address Line | 720 ALICEANNA ST STE 204
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City | BALTIMORE
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State | MD
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Zip | 21202-4391
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Country | US
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Telephone | 443-923-7480
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Fax | 443-923-7505
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 05203
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License Number State | MD
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