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General NPI Number Information
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NPI Number | 1780717504
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Entity Type | Individual
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Provider Name | LAWRENCE R HYMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 10/15/2008
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Provider Practice Location Address
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Address Line | 11055 LITTLE PATUXENT PKWY SUITE # 201
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City | COLUMBIA
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State | MD
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Zip | 21044-2896
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Country | US
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Telephone | 410-997-8847
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Fax | 410-997-3809
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Provider Business Mailing Address
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Address Line | 3681 FOLLY QUARTER RD
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City | ELLICOTT CITY
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State | MD
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Zip | 21042-1452
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Country | US
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Telephone | 410-997-8847
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | D19881
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License Number State | MD
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