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General NPI Number Information
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NPI Number | 1174017545
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Entity Type | Individual
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Provider Name | JARED MATHEWS MD
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Gender | Male
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Dates
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Enumeration Date | 06/19/2018
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Last Update Date | 07/07/2021
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Provider Practice Location Address
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Address Line | 925 BISHOP WALSH RD STE 4
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City | CUMBERLAND
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State | MD
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Zip | 21502-1845
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Country | US
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Telephone | 301-777-5326
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Fax | 301-777-0325
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Provider Business Mailing Address
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Address Line | 925 BISHOP WALSH RD STE 4
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City | CUMBERLAND
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State | MD
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Zip | 21502-1845
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Country | US
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Telephone | 301-777-5326
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Fax | 301-777-0325
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MT216665
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D0091284
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License Number State | MD
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