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General NPI Number Information
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NPI Number | 1356377691
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Entity Type | Organization
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Legal Business Name | MCFAYDEN EYO & STROTTAND ASSOC PA
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 04/03/2012
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Provider Practice Location Address
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Address Line | 1205 PEMBERTON STE 102
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City | SALISBURY
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State | MD
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Zip | 21801-2483
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Country | US
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Telephone | 410-749-8300
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Fax | 410-860-9007
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Provider Business Mailing Address
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Address Line | 1205 PEMBERTON DR STE 102
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City | SALISBURY
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State | MD
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Zip | 21801-2483
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Country | US
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Telephone | 410-749-8300
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Fax | 410-860-9007
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Authorized Official
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Title or Position | SECRETARY TREASURER
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Name | SHARON ANDREA MCFAYDEN EYO
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Credential | MD
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Telephone | 410-749-8300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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