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General NPI Number Information
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NPI Number | 1285578658
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Entity Type | Organization
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Legal Business Name | MID ATLANTIC PLASTIC & RECONSTRUCTIVE SURGERY
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Dates
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Enumeration Date | 04/16/2026
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Last Update Date | 04/16/2026
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Provider Practice Location Address
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Address Line | 56 THOMAS JOHNSON DR STE 100
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City | FREDERICK
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State | MD
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Zip | 21702-4860
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Country | US
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Telephone | 301-378-2015
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Fax | 301-662-4011
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Provider Business Mailing Address
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Address Line | 56 THOMAS JOHNSON DR STE 100
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City | FREDERICK
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State | MD
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Zip | 21702-4860
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Country | US
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Telephone | 301-378-2015
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Fax | 301-662-4011
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Authorized Official
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Title or Position | REGISTERED NURSE
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Name | SARAH SOFLEY
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Credential | RN
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Telephone | 301-639-0312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State |
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