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General NPI Number Information
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NPI Number | 1508852112
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Entity Type | Individual
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Provider Name | JOHANNES G. DALMASY-FROUIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/20/2005
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Last Update Date | 08/08/2008
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Provider Practice Location Address
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Address Line | 2 RESERVOIR CIR SUITE 202
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City | BALTIMORE
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State | MD
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Zip | 21208-6393
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Country | US
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Telephone | 410-653-2647
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Fax |
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Provider Business Mailing Address
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Address Line | 5802 GREENSPRING AVE
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City | BALTIMORE
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State | MD
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Zip | 21209-4216
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Country | US
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Telephone | 410-375-5058
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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 | D0047833
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License Number State | MD
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