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General NPI Number Information
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NPI Number | 1326997792
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Entity Type | Individual
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Provider Name | MARIE RYAN PESSAGNO
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Gender | Female
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Dates
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Enumeration Date | 01/27/2026
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 601 BALTIMORE ANNAPOLIS BLVD STE 206
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City | SEVERNA PARK
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State | MD
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Zip | 21146-3914
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Country | US
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Telephone | 410-553-4450
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Fax |
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Provider Business Mailing Address
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Address Line | 215 BRAXTON WAY
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City | EDGEWATER
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State | MD
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Zip | 21037-1843
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Country | US
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Telephone | 410-553-4450
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 25294
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License Number State | MD
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