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General NPI Number Information
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NPI Number | 1184909780
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Entity Type | Organization
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Legal Business Name | CONSULTATION & CRISIS INTERVENTION ASSOCIATES, LLC
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Dates
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Enumeration Date | 10/14/2011
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Last Update Date | 10/14/2011
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Provider Practice Location Address
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Address Line | 6565 N CHARLES ST PPE# 211
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City | BALTIMORE
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State | MD
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Zip | 21204-6800
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Country | US
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Telephone | 443-849-2369
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Fax | 443-849-2248
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Provider Business Mailing Address
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Address Line | 6565 N CHARLES ST PPE# 211
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City | BALTIMORE
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State | MD
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Zip | 21204-6800
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Country | US
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Telephone | 443-849-2369
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Fax | 443-849-2248
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. RAHSAAN LATEEF LINDSEY
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Credential | MD
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Telephone | 443-849-2369
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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 | 04153
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 04668
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 04535
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | H0059634
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License Number State | MD
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | D0036535
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License Number State | MD
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Taxonomy #6
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | D0063687
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License Number State | MD
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Taxonomy #7
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | D0069596
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License Number State | MD
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Taxonomy #8
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | D0072416
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License Number State | MD
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Taxonomy #9
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | H0072194
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License Number State | MD
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Taxonomy #10
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | D0065120
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License Number State | MD
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Taxonomy #11
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | D0059449
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License Number State | MD
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