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General NPI Number Information
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NPI Number | 1831584432
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Entity Type | Individual
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Provider Name | ALISON STEMPEL MCCANON MD
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Gender | Female
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Dates
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Enumeration Date | 03/31/2015
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Last Update Date | 05/19/2024
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Provider Practice Location Address
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Address Line | 101 SCHILLING RD STE 40
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City | HUNT VALLEY
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State | MD
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Zip | 21031-1104
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Country | US
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Telephone | 410-928-4175
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Fax |
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Provider Business Mailing Address
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Address Line | 101 SCHILLING RD STE 40
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City | HUNT VALLEY
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State | MD
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Zip | 21031-1104
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Country | US
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Telephone |
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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 | 0101266090
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | D0093425
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License Number State | MD
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