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NPI 1376054452

NPI 1376054452 : CLINICAL ASSOCIATES P A : REISTERSTOWN, MD

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General NPI Number Information
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    NPI Number           |    1376054452
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    Entity Type          |    Organization 
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    Legal Business Name  |    CLINICAL ASSOCIATES P A 
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Dates
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    Enumeration Date     |    10/17/2017
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    Last Update Date     |    04/01/2025
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Provider Practice Location Address
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    Address Line         |    120 WESTMINSTER PIKE # 106 
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    City                 |    REISTERSTOWN
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    State                |    MD
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    Zip                  |    21136-1027
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    Country              |    US
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    Telephone            |    410-833-9353
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    Fax                  |    410-584-1873
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Provider Business Mailing Address
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    Address Line         |    515 FAIRMOUNT AVE STE 400 
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    City                 |    TOWSON
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    State                |    MD
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    Zip                  |    21286-8518
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    Country              |    US
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    Telephone            |    410-494-1324
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    Fax                  |    410-494-1361
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Authorized Official
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    Title or Position    |    MANAGING EMPLOYEE
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    Name                 |     CHANEL  MORRIS 
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    Credential           |    
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    Telephone            |    410-494-1237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    
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    License Number State |    
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