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General NPI Number Information
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NPI Number | 1144112574
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Entity Type | Organization
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Legal Business Name | MITCHELL FAMILY DERMATOLOGY LLC
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Dates
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Enumeration Date | 07/18/2025
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 11236 ROBINWOOD DR STE 102
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City | HAGERSTOWN
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State | MD
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Zip | 21742-6800
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Country | US
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Telephone | 301-936-3376
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Fax | 301-750-9896
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Provider Business Mailing Address
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Address Line | 11236 ROBINWOOD DR STE 102
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City | HAGERSTOWN
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State | MD
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Zip | 21742-6800
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Country | US
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Telephone | 301-936-3376
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MEGHAN W MITCHELL
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Credential | MD
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Telephone | 415-802-1310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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