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General NPI Number Information
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NPI Number | 1083832877
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Entity Type | Individual
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Provider Name | MANISHA J. LOSS M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 601 N CAROLINE ST SUITE 8060B
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City | BALTIMORE
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State | MD
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Zip | 21287-0006
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Country | US
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Telephone | 410-502-2082
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 64252
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City | BALTIMORE
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State | MD
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Zip | 21264-4252
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 2006-00577
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | DR.0074532
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | D66236
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License Number State | MD
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