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General NPI Number Information
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NPI Number | 1235443771
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Entity Type | Individual
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Provider Name | TANUJA G. KULASINGHE MD
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Gender | Female
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Dates
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Enumeration Date | 07/26/2010
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Last Update Date | 12/24/2013
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Provider Practice Location Address
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Address Line | 2001 MEDICAL PARKWAY
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City | ANNAPOLIS
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State | MD
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Zip | 21401-3280
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Country | US
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Telephone | 443-481-1750
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Fax | 443-481-1687
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Provider Business Mailing Address
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Address Line | PO BOX 12622
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City | BELFAST
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State | ME
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Zip | 04915-4017
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Country | US
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Telephone | 443-481-6469
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Fax | 443-481-6515
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D71094
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License Number State | MD
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