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General NPI Number Information
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NPI Number | 1174534945
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Entity Type | Individual
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Provider Name | STEVEN BRUCE REBARBER M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 5225 POOKS HILL RD STE 4A
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City | BETHESDA
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State | MD
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Zip | 20814-2078
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Country | US
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Telephone | 301-493-6984
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Fax | 301-571-5128
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Provider Business Mailing Address
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Address Line | 6410 DAHLONEGA RD
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City | BETHESDA
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State | MD
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Zip | 20816-2102
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Country | US
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Telephone | 301-320-6764
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | D0040396
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License Number State | MD
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