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NPI 1275884082

NPI 1275884082 : OSCAR JOHN HARP III PH.D. : BALTIMORE, MD

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General NPI Number Information
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    NPI Number           |    1275884082
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    Entity Type          |    Individual 
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    Provider Name        |    OSCAR JOHN HARP III PH.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/20/2012
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    Last Update Date     |    09/26/2012
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Provider Practice Location Address
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    Address Line         |    5601 LOCH RAVEN BLVD 
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21239-2945
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    Country              |    US
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    Telephone            |    443-444-3848
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    10611 CANNONVIEW CT 
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    City                 |    FORT WASHINGTON
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    State                |    MD
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    Zip                  |    20744-7217
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    Country              |    US
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    Telephone            |    301-292-7094
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    Fax                  |    301-292-7306
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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        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    05154
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    License Number State |    MD
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