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General NPI Number Information
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NPI Number | 1366478224
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Entity Type | Individual
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Provider Name | DEBORAH ANN ENGLERT M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 12/10/2013
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Provider Practice Location Address
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Address Line | 10 FILA WAY STE 205
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City | SPARKS GLENCOE
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State | MD
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Zip | 21152-9454
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Country | US
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Telephone | 410-472-1006
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Fax | 410-472-0900
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Provider Business Mailing Address
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Address Line | 10 FILA WAY STE 205
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City | SPARKS GLENCOE
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State | MD
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Zip | 21152-9454
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Country | US
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Telephone | 410-472-1006
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Fax | 410-472-0900
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | D63690
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License Number State | MD
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