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NPI 1093838609

NPI 1093838609 : MEDPEDS, LLC : LAUREL, MD

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General NPI Number Information
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    NPI Number           |    1093838609
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    Entity Type          |    Organization 
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    Legal Business Name  |    MEDPEDS, LLC 
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Dates
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    Enumeration Date     |    04/09/2007
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    Last Update Date     |    12/02/2025
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Provider Practice Location Address
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    Address Line         |    7350 VANDUSEN RD STE 110 
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    City                 |    LAUREL
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    State                |    MD
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    Zip                  |    20707
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    Country              |    US
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    Telephone            |    301-498-8880
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    Fax                  |    301-498-7939
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Provider Business Mailing Address
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    Address Line         |    7350 VANDUSEN RD STE 110 
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    City                 |    LAUREL
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    State                |    MD
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    Zip                  |    20707
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    Country              |    US
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    Telephone            |    301-498-8880
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    Fax                  |    301-498-7939
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Authorized Official
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    Title or Position    |    PRACTICE MANAGER
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    Name                 |    MRS. JANET ELISSA GERBER-SALINS 
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    Credential           |    
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    Telephone            |    301-498-8880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    
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    License Number State |    DC
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Taxonomy #2
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    Taxonomy Code        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    
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    License Number State |    DC
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Taxonomy #3
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    DC
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