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General NPI Number Information
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NPI Number | 1235292160
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Entity Type | Individual
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Provider Name | PAUL MICHAEL BOSSIE MD
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Gender | Male
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 10903 NEW HAMPSHIRE AVE
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City | SILVER SPRING
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State | MD
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Zip | 20993-3706
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Country | US
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Telephone | 888-463-6332
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Fax |
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Provider Business Mailing Address
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Address Line | 10903 NEW HAMPSHIRE AVE
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City | SILVER SPRING
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State | MD
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Zip | 20993-0002
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Country | US
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Telephone | 888-463-6332
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 243295
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License Number State | MA
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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 | 0101245626
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD12515
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License Number State | RI
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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 | MD037936
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License Number State | DC
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