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General NPI Number Information
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NPI Number | 1154396422
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Entity Type | Organization
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Legal Business Name | ELIZABETH G SCHLENOFF MD PC
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Dates
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Enumeration Date | 02/21/2006
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Last Update Date | 09/01/2011
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Provider Practice Location Address
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Address Line | 214 MT CARMEL RD SUITE 4
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City | PARKTON
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State | MD
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Zip | 21120-9750
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Country | US
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Telephone | 410-357-5559
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Fax | 410-357-0308
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Provider Business Mailing Address
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Address Line | 214 MT CARMEL RD SUITE 4
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City | PARKTON
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State | MD
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Zip | 21120-9750
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Country | US
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Telephone | 410-357-5559
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Fax | 410-357-0308
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | ELIZABETH G SCHLENOFF JR.
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Credential | M.D.
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Telephone | 410-357-5559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D22557
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License Number State | MD
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