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General NPI Number Information
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NPI Number | 1205095593
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Entity Type | Individual
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Provider Name | JULIA A. WISNIEWSKI M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/03/2008
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 314 WYNDHURST AVE
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City | BALTIMORE
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State | MD
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Zip | 21210-2416
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Country | US
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Telephone | 410-717-5012
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Fax | 410-413-0263
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Provider Business Mailing Address
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Address Line | 201 WOODLAWN RD
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City | BALTIMORE
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State | MD
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Zip | 21210-2546
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Country | US
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Telephone | 410-717-5012
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Fax | 410-413-0263
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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 | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | D0088400
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 245804
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2080P0201X
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Taxonomy Name | Pediatric Allergy/Immunology Physician
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License Number | 0101247902
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License Number State | VA
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