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General NPI Number Information
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NPI Number | 1437899077
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Entity Type | Organization
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Legal Business Name | CHESAPEAKE FORENSIC CONSULTING, LLC
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Dates
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Enumeration Date | 03/31/2022
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Last Update Date | 03/31/2022
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Provider Practice Location Address
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Address Line | 1301 JACK WARNER PKWY NE
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City | TUSCALOOSA
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State | AL
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Zip | 35404-1060
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Country | US
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Telephone | 410-216-4520
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Fax |
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Provider Business Mailing Address
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Address Line | 1121 ANNAPOLIS RD # 236
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City | ODENTON
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State | MD
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Zip | 21113-1633
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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 | PRINCIPAL
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Name | SARAH STEPHENS
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Credential |
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Telephone | 410-216-4520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number |
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License Number State |
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