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General NPI Number Information
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NPI Number | 1134152416
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Entity Type | Individual
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Provider Name | PAULINE HSU M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 110 BAUGHMANS LN SECOND FLOOR
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City | FREDERICK
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State | MD
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Zip | 21702-4059
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Country | US
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Telephone | 304-846-0300
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Fax | 301-663-6048
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Provider Business Mailing Address
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Address Line | 9706 STARLING RD
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City | ELLICOTT CITY
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State | MD
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Zip | 21042-1775
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Country | US
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Telephone | 410-418-5295
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | D0053595
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License Number State | MD
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