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General NPI Number Information
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NPI Number | 1811042377
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Entity Type | Individual
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Provider Name | STEWART A ZELMAN PH.D.
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Gender | Male
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5410 MCKINLEY ST
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City | BETHESDA
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State | MD
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Zip | 20817-3764
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Country | US
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Telephone | 301-593-8333
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Fax | 240-465-0866
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Provider Business Mailing Address
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Address Line | PO BOX 356
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City | GLENELG
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State | MD
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Zip | 21737-0356
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Country | US
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Telephone | 301-593-8333
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Fax | 240-465-0866
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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 | 01970
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License Number State | MD
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