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General NPI Number Information
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NPI Number | 1861610289
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Entity Type | Organization
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Legal Business Name | AUTISM CONSULTATION AND TREATMENT CENTER
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 301 W MAIN ST
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City | THURMONT
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State | MD
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Zip | 21788-1834
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Country | US
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Telephone | 301-271-0400
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Fax |
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Provider Business Mailing Address
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Address Line | 301 W MAIN ST
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City | THURMONT
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State | MD
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Zip | 21788-1834
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Country | US
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Telephone | 301-271-0400
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. RALPH L. MCBEE
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Credential | PSY.D.
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Telephone | 301-271-0400
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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 | 3956
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License Number State | MD
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