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General NPI Number Information
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NPI Number | 1881170637
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Entity Type | Individual
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Provider Name | LIZA HARBISON
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Gender | Female
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Dates
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Enumeration Date | 07/16/2018
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Last Update Date | 07/16/2018
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Provider Practice Location Address
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Address Line | 8894 STANFORD BLVD STE 103
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City | COLUMBIA
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State | MD
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Zip | 21045-5161
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Country | US
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Telephone | 410-440-1413
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Fax |
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Provider Business Mailing Address
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Address Line | 305 WHITTIER ST NW APT 202
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City | WASHINGTON
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State | DC
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Zip | 20012-2751
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Country | US
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Telephone | 301-661-6370
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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