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General NPI Number Information
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NPI Number | 1164504387
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Entity Type | Organization
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Legal Business Name | FISHEL WATSON & LEMAIRE
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 532 EASTERN BLVD STE 202
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City | BALTIMORE
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State | MD
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Zip | 21221-6701
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Country | US
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Telephone | 410-391-8240
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Fax | 443-460-0293
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Provider Business Mailing Address
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Address Line | 532 EASTERN BLVD STE 202
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City | BALTIMORE
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State | MD
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Zip | 21221-6701
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Country | US
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Telephone | 410-391-8240
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Fax | 443-460-0293
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. THEO E. LEMAIRE
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Credential | PH.D.
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Telephone | 410-391-8240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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