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General NPI Number Information
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NPI Number | 1780853325
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Entity Type | Organization
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Legal Business Name | SHORE PSYCHIATRIC ASSOCIATES, LLC
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Dates
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Enumeration Date | 02/28/2008
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Last Update Date | 07/01/2009
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Provider Practice Location Address
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Address Line | 8221 TEAL DR SUITE 406
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City | EASTON
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State | MD
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Zip | 21601-7227
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Country | US
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Telephone | 410-820-4005
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Fax | 410-820-4008
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Provider Business Mailing Address
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Address Line | 8221 TEAL DR SUITE 406
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City | EASTON
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State | MD
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Zip | 21601-7227
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Country | US
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Telephone | 410-820-4005
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Fax | 410-820-4008
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. ALLAN ARTHUR ANDERSON
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Credential | M.D.
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Telephone | 410-820-4005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TP0016X
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Taxonomy Name | Prescribing (Medical) Psychologist
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License Number | D0040200
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License Number State | MD
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