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General NPI Number Information
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NPI Number | 1811101769
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Entity Type | Individual
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Provider Name | HAROLD ANTHONY ZIESAT PH.D.
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Gender | Male
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 08/10/2018
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Provider Practice Location Address
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Address Line | 8640 GUILFORD RD STE 252
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City | COLUMBIA
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State | MD
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Zip | 21046
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Country | US
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Telephone | 410-997-1183
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Fax | 410-997-1183
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Provider Business Mailing Address
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Address Line | 8640 GUILFORD RD STE 252
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City | COLUMBIA
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State | MD
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Zip | 21046-2666
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Country | US
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Telephone | 410-997-1183
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Fax | 410-997-1183
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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 | 02101
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License Number State | MD
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