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General NPI Number Information
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NPI Number | 1336575760
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Entity Type | Organization
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Legal Business Name | MOLLY PERKINS HAUCK, PH.D., LLC
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Dates
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Enumeration Date | 09/17/2013
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 3900 DECATUR AVE
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City | KENSINGTON
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State | MD
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Zip | 20895-1531
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Country | US
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Telephone | 301-881-4884
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Fax | 301-881-5447
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Provider Business Mailing Address
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Address Line | 3900 DECATUR AVE
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City | KENSINGTON
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State | MD
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Zip | 20895-1531
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Country | US
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Telephone | 301-881-4884
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Fax | 301-881-5447
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MOLLY PERKINS HAUCK
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Credential | PH.D.
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Telephone | 301-881-4884
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 02128
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License Number State | MD
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