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General NPI Number Information
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NPI Number | 1194958611
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Entity Type | Individual
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Provider Name | ADAM PETER SPIRA PH.D.
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Gender | Male
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Dates
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Enumeration Date | 09/01/2009
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Last Update Date | 09/01/2009
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Provider Practice Location Address
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Address Line | THE JOHNS HOPKINS OUTPATIENT CTR STE 1261 601 N. CAROLINE STREET
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City | BALTIMORE
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State | MD
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Zip | 21287-0001
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Country | US
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Telephone | 443-287-3313
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Fax | 443-287-3312
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Provider Business Mailing Address
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Address Line | 624 N BROADWAY HAMPTON HOUSE, RM 794
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City | BALTIMORE
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State | MD
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Zip | 21205-1900
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Country | US
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Telephone | 410-614-9498
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Fax | 410-614-7469
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 04619
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY 21591
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License Number State | CA
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