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General NPI Number Information
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NPI Number | 1114165115
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Entity Type | Individual
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Provider Name | CAROLINA ISABEL VALDIVIEZO SCHLOMP M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/28/2009
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Last Update Date | 07/26/2013
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Provider Practice Location Address
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Address Line | 4940 EASTERN AVE 301 BUILDING, SUITE 2400
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City | BALTIMORE
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State | MD
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Zip | 21224-2735
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Country | US
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Telephone | 410-550-0724
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Fax |
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Provider Business Mailing Address
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Address Line | 4940 EASTERN AVE 301 BUILDING, SUITE 2400
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City | BALTIMORE
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State | MD
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Zip | 21224-2735
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Country | US
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Telephone | 410-550-0724
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | D69998
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License Number State | MD
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