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General NPI Number Information
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NPI Number | 1508013426
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Entity Type | Individual
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Provider Name | SUSAN DIANE RICH MD, MPH
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Gender | Female
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Dates
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Enumeration Date | 08/21/2008
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Last Update Date | 11/08/2016
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Provider Practice Location Address
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Address Line | 12640 ROLLING ROAD
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City | POTOMAC
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State | MD
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Zip | 20854
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Country | US
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Telephone | 301-251-1190
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Fax | 301-251-9110
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Provider Business Mailing Address
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Address Line | 12640 ROLLING ROAD
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City | POTOMAC
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State | MD
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Zip | 20854
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Country | US
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Telephone | 301-251-1190
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Fax | 301-251-9110
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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 | D0062027
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD034522
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | D0062027
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License Number State | MD
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