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General NPI Number Information
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NPI Number | 1285506998
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Entity Type | Individual
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Provider Name | SUSAN ESTEP
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Gender | Female
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 1305 DARES BEACH RD
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City | PRINCE FREDERICK
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State | MD
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Zip | 20678-4208
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Country | US
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Telephone | 301-653-6653
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Fax |
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Provider Business Mailing Address
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Address Line | 24894 IVY LN
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City | HOLLYWOOD
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State | MD
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Zip | 20636-2736
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Country | US
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Telephone | 301-653-6653
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 1001433288
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License Number State | MD
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