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General NPI Number Information
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NPI Number | 1306861620
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Entity Type | Individual
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Provider Name | MEETA GULATI M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 05/31/2021
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Provider Practice Location Address
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Address Line | 4920 CAMPBELL BLVD
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City | NOTTINGHAM
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State | MD
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Zip | 21236-5916
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Country | US
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Telephone | 410-933-7600
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Fax |
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Provider Business Mailing Address
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Address Line | 715 ROYAL MILE DR
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City | ABINGDON
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State | MD
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Zip | 21009-3052
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Country | US
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Telephone | 410-652-5408
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D0054034
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D54034
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License Number State | MD
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