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General NPI Number Information
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NPI Number | 1578695920
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Entity Type | Individual
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Provider Name | PETER JAMES COLEMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 120 SISTER PIERRE DR
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City | TOWSON
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State | MD
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Zip | 21204-7516
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Country | US
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Telephone | 410-821-9169
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Fax |
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Provider Business Mailing Address
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Address Line | 16758 GORSUCH MILL RD
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City | UPPERCO
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State | MD
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Zip | 21155-9440
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Country | US
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Telephone | 410-374-3673
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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 | D0008591
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | D0008591
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License Number State | MD
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