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NPI 1194763201

NPI 1194763201 : NEIL DAVID CARR M.D. : BALTIMORE, MD

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General NPI Number Information
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    NPI Number           |    1194763201
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    Entity Type          |    Individual 
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    Provider Name        |    NEIL DAVID CARR M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/02/2006
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    Last Update Date     |    07/01/2010
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Provider Practice Location Address
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    Address Line         |    7801 YORK ROAD SUITE 215
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21204-7440
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    Country              |    US
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    Telephone            |    410-486-3907
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    Fax                  |    410-337-8729
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Provider Business Mailing Address
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    Address Line         |    20 MARYLAND AVE 
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21208-5318
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    Country              |    US
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    Telephone            |    410-486-7146
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    Fax                  |    410-337-8729
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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       |    D0015305
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    License Number State |    MD
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