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General NPI Number Information
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NPI Number | 1326230343
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Entity Type | Organization
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Legal Business Name | E.PASMANIK, MD, LLC
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Dates
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Enumeration Date | 08/14/2007
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Last Update Date | 02/24/2014
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Provider Practice Location Address
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Address Line | 5400 OLD COURT RD
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-5100
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Country | US
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Telephone | 410-521-4211
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Fax | 410-521-0627
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Provider Business Mailing Address
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Address Line | 5400 OLD COURT RD
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-5100
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Country | US
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Telephone | 410-521-4211
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Fax | 410-521-0627
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ELVIRA PASMANIK
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Credential | MD
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Telephone | 443-739-8040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | D0059228
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License Number State | MD
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