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General NPI Number Information
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NPI Number | 1184816753
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Entity Type | Individual
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Provider Name | AIMEE MACEDA MD
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Gender | Female
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Dates
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Enumeration Date | 08/16/2007
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Last Update Date | 02/03/2014
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Provider Practice Location Address
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Address Line | 601 N CAROLINE ST
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City | BALTIMORE
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State | MD
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Zip | 21287-0006
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Country | US
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Telephone | 410-955-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 32 STAGS LEAP CT
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City | PIKESVILLE
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State | MD
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Zip | 21208-1029
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Country | US
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Telephone | 410-653-5222
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | D62713
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License Number State | MD
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