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General NPI Number Information
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NPI Number | 1316121643
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Entity Type | Organization
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Legal Business Name | SCOTT A HOLZMAN, PHD. LLC
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Dates
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Enumeration Date | 12/21/2007
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Last Update Date | 06/26/2008
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Provider Practice Location Address
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Address Line | 11055 LITTLE PATUXENT PKWY SUITE 201
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City | COLUMBIA
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State | MD
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Zip | 21044-2896
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Country | US
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Telephone | 410-997-8847
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Fax | 410-997-3809
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Provider Business Mailing Address
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Address Line | 11055 LITTLE PATUXENT PKWY SUITE 201
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City | COLUMBIA
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State | MD
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Zip | 21044-2896
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Country | US
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Telephone | 410-997-8847
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Fax | 410-997-3809
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. SCOTT A HOLZMAN
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Credential | PHD.
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Telephone | 410-997-8847
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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 | 03200
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License Number State | MD
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