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General NPI Number Information
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NPI Number | 1013135599
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Entity Type | Organization
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Legal Business Name | JEAN ANN BIALAS WOMENS MEDICAL
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 06/27/2008
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Provider Practice Location Address
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Address Line | 600 MEMORIAL AVE SUITE 303
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City | CUMBERLAND
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State | MD
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Zip | 21502-3765
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Country | US
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Telephone | 301-759-2900
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Fax | 301-759-4850
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Provider Business Mailing Address
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Address Line | 600 MEMORIAL AVE SUITE 303 WOMENS MEDICAL
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City | CUMBERLAND
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State | MD
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Zip | 21502-3765
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Country | US
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Telephone | 410-872-9188
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Fax | 410-872-9169
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEAN ANN BIALAS
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Credential | MD
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Telephone | 301-759-2900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | D0051177
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License Number State | MD
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