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General NPI Number Information
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NPI Number | 1366401515
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Entity Type | Individual
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Provider Name | PAUL A EDER M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/17/2006
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Last Update Date | 05/01/2008
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Provider Practice Location Address
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Address Line | 200 E 33RD ST SUITE 640
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City | BALTIMORE
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State | MD
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Zip | 21218-3322
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Country | US
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Telephone | 410-366-4441
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Fax | 410-243-7532
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Provider Business Mailing Address
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Address Line | 200 E 33RD ST SUITE 640
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City | BALTIMORE
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State | MD
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Zip | 21218-3322
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Country | US
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Telephone | 410-366-4441
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Fax | 410-243-7532
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | D0038282
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License Number State | MD
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