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General NPI Number Information
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NPI Number | 1760852727
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Entity Type | Individual
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Provider Name | LINDSAY D HOLBEIN
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Gender | Female
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Dates
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Enumeration Date | 10/03/2015
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Last Update Date | 02/10/2021
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Provider Practice Location Address
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Address Line | 616 FRANKLIN AVE
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City | BALTIMORE
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State | MD
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Zip | 21221-4929
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Country | US
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Telephone | 443-801-1575
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1046
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City | BEL AIR
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State | MD
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Zip | 21014-7046
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Country | US
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Telephone | 703-477-8210
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 05091
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License Number State | MD
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