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General NPI Number Information
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NPI Number | 1124122494
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Entity Type | Individual
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Provider Name | CATHERINE A CORDERO-PARRISH MD
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Gender | Female
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Dates
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Enumeration Date | 09/08/2006
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Last Update Date | 07/18/2023
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Provider Practice Location Address
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Address Line | 1501 S CLINTON ST SUITE 200
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City | BALTIMORE
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State | MD
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Zip | 21224-5730
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Country | US
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Telephone | 410-522-9940
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Fax | 410-522-5681
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Provider Business Mailing Address
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Address Line | 3100 WYMAN PARK DRIVE SUITE 359A
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City | BALTIMORE
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State | MD
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Zip | 21211
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Country | US
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Telephone | 410-338-3016
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Fax | 410-338-3420
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | D33167
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License Number State | MD
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