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General NPI Number Information
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NPI Number | 1215469846
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Entity Type | Individual
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Provider Name | UMER ANSARI
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Gender | Male
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Dates
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Enumeration Date | 04/02/2017
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 120 WESTMINSTER PIKE STE 106
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City | REISTERSTOWN
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State | MD
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Zip | 21136-1027
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Country | US
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Telephone | 410-321-9108
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Fax | 410-321-9126
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Provider Business Mailing Address
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Address Line | 515 FAIRMOUNT AVE STE 400
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City | TOWSON
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State | MD
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Zip | 21286-8518
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Country | US
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Telephone | 410-296-5300
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Fax | 410-494-1302
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | D95169
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License Number State | MD
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