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General NPI Number Information
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NPI Number | 1215816855
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Entity Type | Organization
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Legal Business Name | THE CHILDREN'S DOCTOR
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Dates
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Enumeration Date | 08/28/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 21 WYAND DR
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City | KEEDYSVILLE
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State | MD
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Zip | 21756-1201
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Country | US
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Telephone | 301-432-4000
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Fax | 301-432-6646
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Provider Business Mailing Address
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Address Line | 319 E ANTIETAM ST
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City | HAGERSTOWN
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State | MD
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Zip | 21740-5701
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Country | US
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Telephone | 301-790-3620
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Fax | 301-671-2137
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Authorized Official
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Title or Position | OWNER
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Name | SAQIB MASOOD
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Credential | MD
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Telephone | 301-790-3620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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