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General NPI Number Information
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NPI Number | 1356982599
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Entity Type | Organization
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Legal Business Name | ANNAPOLIS NEPHROLOGY ASSOCIATES
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Dates
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Enumeration Date | 09/30/2019
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Last Update Date | 09/30/2019
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Provider Practice Location Address
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Address Line | 104 FORBES ST STE 102
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City | ANNAPOLIS
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State | MD
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Zip | 21401-1543
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Country | US
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Telephone | 410-571-8333
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Fax | 410-571-8338
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Provider Business Mailing Address
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Address Line | 104 FORBES ST STE 102
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City | ANNAPOLIS
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State | MD
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Zip | 21401-1543
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Country | US
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Telephone | 410-571-8333
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Fax | 410-571-8338
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | PATRICIA PATTERSON
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Credential | RN
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Telephone | 410-571-8333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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