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General NPI Number Information
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NPI Number | 1316701204
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Entity Type | Organization
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Legal Business Name | ABOVE & BEYOND PEDIATRICS
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Dates
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Enumeration Date | 02/12/2024
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Last Update Date | 02/12/2024
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Provider Practice Location Address
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Address Line | 8700 CENTRAL AVE STE 203
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City | LANDOVER
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State | MD
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Zip | 20785-4868
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Country | US
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Telephone | 301-710-0455
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Fax | 301-710-9406
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Provider Business Mailing Address
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Address Line | 12070 OLD LINE CTR STE 212
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City | WALDORF
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State | MD
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Zip | 20602-2567
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Country | US
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Telephone | 301-710-0455
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Fax | 301-710-9406
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Authorized Official
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Title or Position | OWNER
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Name | TUERE HUGHES-KAPENZI
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Credential | MD, MBA
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Telephone | 301-818-3799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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