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General NPI Number Information
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NPI Number | 1750477592
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Entity Type | Organization
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Legal Business Name | VA MARYLAND HEALTH CARE SYSTEM
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10 N GREENE ST
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City | BALTIMORE
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State | MD
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Zip | 21201-1524
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Country | US
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Telephone | 410-605-7427
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Fax |
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Provider Business Mailing Address
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Address Line | 10 N GREENE ST
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City | BALTIMORE
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State | MD
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Zip | 21201-1524
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Country | US
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Telephone | 410-605-7427
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. JAMES E FINKELSTEIN
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Credential | PSY.D.
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Telephone | 410-605-7427
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 04123
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License Number State | MD
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