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General NPI Number Information
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NPI Number | 1285778464
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Entity Type | Individual
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Provider Name | AMY JO MCCLOSKY MD
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Gender | Female
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Dates
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Enumeration Date | 02/19/2007
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Last Update Date | 06/27/2011
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Provider Practice Location Address
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Address Line | 301 E UNIVERSITY PKWY EMERGENCY DEPT
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City | BALTIMORE
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State | MD
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Zip | 21218-2843
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Country | US
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Telephone | 410-328-8025
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Fax | 410-328-8028
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Provider Business Mailing Address
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Address Line | 110 S PACA ST EMERGENCY MEDICINE, 6TH FLOOR
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City | BALTIMORE
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State | MD
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Zip | 21201-1642
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Country | US
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Telephone | 410-554-2626
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Fax | 410-328-8028
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | D0066212
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License Number State | MD
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