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General NPI Number Information
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NPI Number | 1730211871
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Entity Type | Individual
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Provider Name | LORRAINE WEIMORTS MCDERMOTT PH.D.
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Gender | Female
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 07/22/2010
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Provider Practice Location Address
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Address Line | 20 RIDGELY AVE STE. 309
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City | ANNAPOLIS
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State | MD
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Zip | 21401-1410
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Country | US
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Telephone | 410-263-5300
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Fax | 410-544-1760
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Provider Business Mailing Address
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Address Line | 1195 OLD COUNTY RD
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City | ARNOLD
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State | MD
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Zip | 21012-1810
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Country | US
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Telephone | 410-263-5300
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Fax | 410-544-1760
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1892
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 1892
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License Number State | MD
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