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General NPI Number Information
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NPI Number | 1891938940
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Entity Type | Organization
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Legal Business Name | RESERVOIR CLINICAL ASSOCIATES
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Dates
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Enumeration Date | 04/18/2009
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Last Update Date | 04/18/2009
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Provider Practice Location Address
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Address Line | 8 RESERVOIR CIR SUITE 103
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City | BALTIMORE
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State | MD
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Zip | 21208-6324
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Country | US
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Telephone | 410-602-1137
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Fax | 410-484-8721
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Provider Business Mailing Address
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Address Line | 8 RESERVOIR CIR SUITE 103
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City | BALTIMORE
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State | MD
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Zip | 21208-6324
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Country | US
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Telephone | 410-602-1137
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Fax | 410-484-8721
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Authorized Official
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Title or Position | MEMBER
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Name | DR. PATRICIA ATTMAN
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Credential | M.D.
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Telephone | 410-602-1137
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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 | D31074
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License Number State | MD
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