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General NPI Number Information
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NPI Number | 1336512425
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Entity Type | Organization
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Legal Business Name | BAYLA BERKOWITZ CNM PC
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Dates
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Enumeration Date | 11/11/2015
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Last Update Date | 06/23/2016
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Provider Practice Location Address
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Address Line | 1700 REISTERSTOWN RD STE 231
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City | PIKESVILLE
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State | MD
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Zip | 21208-2926
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Country | US
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Telephone | 410-960-7041
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Fax |
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Provider Business Mailing Address
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Address Line | 3400 HATTON RD
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City | BALTIMORE
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State | MD
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Zip | 21208-5609
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BAYLA BERKOWITZ
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Credential | CNM
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Telephone | 443-424-7846
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | R161702
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License Number State | MD
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