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General NPI Number Information
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NPI Number | 1770879629
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Entity Type | Organization
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Legal Business Name | ROBERT W. LAPPIN PH.D.,P.A.
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Dates
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Enumeration Date | 06/20/2011
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Last Update Date | 06/20/2011
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Provider Practice Location Address
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Address Line | 13 E DEER PARK DR
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City | GAITHERSBURG
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State | MD
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Zip | 20877-2014
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Country | US
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Telephone | 301-977-3159
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Fax | 301-977-6032
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Provider Business Mailing Address
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Address Line | 13 E DEER PARK DR
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City | GAITHERSBURG
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State | MD
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Zip | 20877-2014
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Country | US
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Telephone | 301-977-3159
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Fax | 301-977-6032
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT WILLIAM LAPPIN
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Credential | PH.D. PSYCHOLOGY
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Telephone | 301-977-3159
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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 | 00578
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License Number State | MD
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