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General NPI Number Information
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NPI Number | 1326906025
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Entity Type | Organization
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Legal Business Name | ANNE ARUNDEL DERMATOLOGY, PA
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 180 ADMIRAL COCHRANE DR STE 420
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City | ANNAPOLIS
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State | MD
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Zip | 21401-8405
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Country | US
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Telephone | 410-263-5439
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Fax | 410-263-7482
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Provider Business Mailing Address
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Address Line | PO BOX 23329
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City | NEW YORK
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State | NY
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Zip | 10087-3329
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Country | US
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Telephone | 410-873-8500
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Fax | 404-301-9057
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Authorized Official
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Title or Position | ENROLLMENT SPECIALIST
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Name | LAURA J HERNANDEZ
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Credential |
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Telephone | 813-493-5252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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