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General NPI Number Information
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NPI Number | 1437273331
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Entity Type | Individual
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Provider Name | SHAREN BISSON M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/17/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7600 OSLER DR STE 201
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City | TOWSON
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State | MD
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Zip | 21204-7735
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Country | US
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Telephone | 410-825-3331
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Fax |
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Provider Business Mailing Address
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Address Line | 3 FOXWAY TER
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City | TOWSON
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State | MD
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Zip | 21286-7919
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Country | US
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Telephone |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | D0042345
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License Number State | MD
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