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General NPI Number Information
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NPI Number | 1326148347
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Entity Type | Organization
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Legal Business Name | MARYLAND PERINATAL ASSOCIATES
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 05/30/2008
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Provider Practice Location Address
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Address Line | 15005 SHADY GROVE RD SUITE 120
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City | ROCKVILLE
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State | MD
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Zip | 20850-6340
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Country | US
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Telephone | 301-251-8611
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Fax | 301-251-8779
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Provider Business Mailing Address
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Address Line | 15005 SHADY GROVE RD SUITE 120
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City | ROCKVILLE
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State | MD
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Zip | 20850-6340
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Country | US
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Telephone | 301-251-8611
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Fax | 301-251-8779
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | WAYNE B KRAMER
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Credential | M.D.
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Telephone | 301-251-8611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | D0050638
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License Number State | MD
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