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General NPI Number Information
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NPI Number | 1255893509
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Entity Type | Individual
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Provider Name | ANNYA SUMAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/04/2019
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Last Update Date | 07/11/2024
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Provider Practice Location Address
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Address Line | 201 E UNIVERSITY PKWY
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City | BALTIMORE
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State | MD
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Zip | 21218
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Country | US
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Telephone | 410-554-2857
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Fax | 410-554-4326
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Provider Business Mailing Address
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Address Line | 538 LITCHFIELD ST STE 101
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City | TORRINGTON
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State | CT
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Zip | 06790-6669
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Country | US
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Telephone | 860-496-1790
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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 | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 075861
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License Number State | CT
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