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General NPI Number Information
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NPI Number | 1316362288
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Entity Type | Individual
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Provider Name | LORI ANN MADHOK
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Gender | Female
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Dates
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Enumeration Date | 02/28/2014
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Last Update Date | 02/28/2014
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Provider Practice Location Address
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Address Line | 7 SAINT PAUL ST SUITE 1660
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City | BALTIMORE
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State | MD
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Zip | 21202-1626
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Country | US
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Telephone | 301-649-7170
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Fax | 301-260-8487
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Provider Business Mailing Address
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Address Line | PO BOX 1687
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City | ROCKVILLE
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State | MD
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Zip | 20849-1687
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Country | US
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Telephone | 301-649-7170
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Fax | 301-260-8487
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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