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General NPI Number Information
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NPI Number | 1710497086
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Entity Type | Individual
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Provider Name | LISA MARIE NAUMANN LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 10/02/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 2227 OLD EMMORTON RD STE 115
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City | BEL AIR
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State | MD
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Zip | 21015-6190
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Country | US
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Telephone | 410-893-4600
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Fax | 443-640-4358
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Provider Business Mailing Address
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Address Line | 4220 NECKER AVE
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City | NOTTINGHAM
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State | MD
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Zip | 21236-2922
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Country | US
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Telephone | 410-274-0173
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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 | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number |
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License Number State | MD
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