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General NPI Number Information
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NPI Number | 1184770745
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Entity Type | Individual
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Provider Name | RENEE DENISE BOSS M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 600 N WOLFE ST NELSON 2-133
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City | BALTIMORE
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State | MD
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Zip | 21287-0005
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Country | US
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Telephone | 410-955-5259
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Fax |
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Provider Business Mailing Address
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Address Line | 6201 GREENLEIGH AVE
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City | BALTIMORE
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State | MD
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Zip | 21220-2004
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Country | US
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Telephone | 410-933-6423
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | D0061656
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2080H0002X
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Taxonomy Name | Pediatric Hospice and Palliative Medicine Physician
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License Number | D0061656
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License Number State | MD
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