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General NPI Number Information
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NPI Number | 1306106711
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Entity Type | Individual
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Provider Name | JAMES MARK SYDNOR-GREENBERG PH.D.
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Gender | Male
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Dates
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Enumeration Date | 05/18/2012
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Last Update Date | 05/18/2012
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Provider Practice Location Address
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Address Line | 4701 WILLARD AVE SUITE 419
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City | CHEVY CHASE
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State | MD
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Zip | 20815
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Country | US
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Telephone | 703-536-5405
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Fax | 301-718-2677
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Provider Business Mailing Address
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Address Line | 4701 WILLARD AVE. SUITE 419
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City | CHEVY CHASE
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State | MD
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Zip | 20815
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Country | US
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Telephone | 703-536-5405
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Fax | 301-718-2677
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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 | 2681
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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 | 1772
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1625
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License Number State | DC
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