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General NPI Number Information
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NPI Number | 1316948508
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Entity Type | Individual
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Provider Name | LOUIS K ESSANDOH MD
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Gender | Male
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Dates
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Enumeration Date | 08/10/2005
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Last Update Date | 12/08/2008
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Provider Practice Location Address
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Address Line | 888 BESTGATE RD SUITE 211
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City | ANNAPOLIS
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State | MD
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Zip | 21401-3091
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Country | US
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Telephone | 410-897-9474
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Fax | 410-897-9476
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Provider Business Mailing Address
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Address Line | PO BOX 62076
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City | BALTIMORE
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State | MD
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Zip | 21264-2076
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Country | US
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Telephone | 410-280-6550
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Fax | 410-280-6515
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | D0041417
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License Number State | MD
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