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General NPI Number Information
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NPI Number | 1043410905
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Entity Type | Organization
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Legal Business Name | DRS POULTON & SMITH LLC
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Dates
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Enumeration Date | 07/19/2007
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Last Update Date | 10/06/2014
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Provider Practice Location Address
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Address Line | 5233 KING AVE SUITE 204
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City | BALTIMORE
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State | MD
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Zip | 21237-4001
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Country | US
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Telephone | 410-574-3100
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Fax | 410-574-3710
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Provider Business Mailing Address
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Address Line | 5233 KING AVE SUITE 204
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City | BALTIMORE
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State | MD
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Zip | 21237-4001
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Country | US
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Telephone | 410-574-3100
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Fax | 410-574-3710
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Authorized Official
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Title or Position | PARTNER
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Name | JAMES K POULTON
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Credential | M.D.
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Telephone | 410-686-7876
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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 | MD
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