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General NPI Number Information
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NPI Number | 1104934942
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Entity Type | Organization
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Legal Business Name | GASTROENTEROLOGY ASSOCIATES, PEAR M. ENAM, M.D., PA
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 08/24/2022
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Provider Practice Location Address
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Address Line | 11110 MEDICAL CAMPUS RD SUITE 250
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City | HAGERSTOWN
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State | MD
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Zip | 21742-6700
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Country | US
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Telephone | 301-733-4404
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Fax | 301-733-3984
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Provider Business Mailing Address
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Address Line | 11110 MEDICAL CAMPUS RD SUITE 250
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City | HAGERSTOWN
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State | MD
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Zip | 21742-6700
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Country | US
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Telephone | 301-733-4404
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Fax | 301-733-3984
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | STACEY BLIZZARD
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Credential |
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Telephone | 301-733-4404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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