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General NPI Number Information
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NPI Number | 1326082421
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Entity Type | Individual
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Provider Name | ANSELMA LOREDO CANLAS M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | HARFORD MEMORIAL HOSPITAL ,501 SO. UNION AVE
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City | HAVRE DE GRACE
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State | MD
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Zip | 21078
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Country | US
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Telephone | 443-843-5920
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Fax |
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Provider Business Mailing Address
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Address Line | 260 GATEWAY DR 20 A
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City | BEL AIR
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State | MD
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Zip | 21014-4268
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Country | US
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Telephone | 410-420-7630
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | D25598
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License Number State | MD
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