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General NPI Number Information
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NPI Number | 1730729047
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Entity Type | Individual
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Provider Name | DARREN J. FREEMAN-COPPADGE PHD, PHARMD, BCPP
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Gender | Male
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Dates
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Enumeration Date | 01/14/2020
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Last Update Date | 05/11/2021
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Provider Practice Location Address
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Address Line | 1125 WEST ST SUITE 607
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City | ANNAPOLIS
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State | MD
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Zip | 21401-4198
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Country | US
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Telephone | 443-832-6750
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Fax |
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Provider Business Mailing Address
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Address Line | 1125 WEST ST SUITE 607
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City | ANNAPOLIS
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State | MD
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Zip | 21401-4198
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Country | US
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Telephone | 240-994-6346
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 06215
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 1835P1300X
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Taxonomy Name | Psychiatric Pharmacist
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License Number | 17726
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License Number State | MD
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