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General NPI Number Information
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NPI Number | 1184808339
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE BEHAVIORAL SERVICES
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Dates
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Enumeration Date | 12/24/2007
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Last Update Date | 12/27/2007
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Provider Practice Location Address
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Address Line | 9021 SHADY GROVE CT
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City | GAITHERSBURG
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State | MD
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Zip | 20877-1301
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Country | US
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Telephone | 301-590-9000
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Fax | 301-869-7760
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Provider Business Mailing Address
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Address Line | 9021 SHADY GROVE CT
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City | GAITHERSBURG
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State | MD
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Zip | 20877-1301
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Country | US
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Telephone | 301-590-9000
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Fax | 301-869-7760
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. ALLAN Z SCHWARTZBERG
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Credential | M.D.
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Telephone | 301-590-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | D10705
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License Number State | MD
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