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General NPI Number Information
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NPI Number | 1316064579
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Entity Type | Organization
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Legal Business Name | JOHN W. MIDDLETON, MD
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 05/04/2009
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Provider Practice Location Address
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Address Line | 688C POOLE RD
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City | WESTMINSTER
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State | MD
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Zip | 21157-6003
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Country | US
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Telephone | 410-857-8202
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Fax |
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Provider Business Mailing Address
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Address Line | 3525 HALTER RD
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City | WESTMINSTER
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State | MD
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Zip | 21158-1901
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Country | US
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Telephone | 410-857-8202
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JOHN MIDDLETON
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Credential | M.D.
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Telephone | 410-857-8202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D25443
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License Number State | MD
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