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General NPI Number Information
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NPI Number | 1023939394
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Entity Type | Organization
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Legal Business Name | CURRENT DERMATOLOGY AND COSMETIC CENTER OF BALTIMORE COUNTY, LLC
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Dates
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Enumeration Date | 07/23/2026
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Last Update Date | 07/23/2026
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Provider Practice Location Address
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Address Line | 10801 TONY DR STE 200
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City | LUTHERVILLE
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State | MD
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Zip | 21093-3649
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Country | US
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Telephone | 410-384-3045
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Fax |
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Provider Business Mailing Address
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Address Line | 810 BESTGATE RD STE 450
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City | ANNAPOLIS
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State | MD
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Zip | 21401-3717
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Country | US
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Telephone | 410-384-3045
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Fax | 410-384-3044
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARY ELIZABETH WALTERHOEFER
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Credential | MD
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Telephone | 443-286-8831
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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