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General NPI Number Information
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NPI Number | 1881979169
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Entity Type | Organization
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Legal Business Name | LIFEWORKS THERAPEUTICS LLC
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Dates
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Enumeration Date | 10/18/2011
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Last Update Date | 05/15/2012
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Provider Practice Location Address
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Address Line | 126 CATHEDRAL ST
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City | ANNAPOLIS
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State | MD
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Zip | 21401-2704
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Country | US
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Telephone | 443-440-6013
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Fax | 443-440-6014
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Provider Business Mailing Address
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Address Line | 126 CATHEDRAL ST
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City | ANNAPOLIS
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State | MD
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Zip | 21401-2704
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Country | US
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Telephone | 443-440-6013
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Fax | 443-440-6014
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Authorized Official
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Title or Position | OWNER
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Name | JOSHUA WERBLIN
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Credential | MD
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Telephone | 443-440-6013
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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 |
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License Number State |
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