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General NPI Number Information
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NPI Number | 1386147932
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Entity Type | Organization
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Legal Business Name | DAS PEDIATRICS
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Dates
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Enumeration Date | 03/09/2018
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Last Update Date | 03/09/2018
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Provider Practice Location Address
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Address Line | 821 N EUTAW ST STE 305
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City | BALTIMORE
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State | MD
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Zip | 21201-6303
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Country | US
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Telephone | 410-384-3625
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Fax | 443-853-3766
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Provider Business Mailing Address
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Address Line | 101 ROSELAWN CT
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City | BEL AIR
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State | MD
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Zip | 21014-5675
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Country | US
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Telephone | 410-384-3625
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Fax | 443-853-3766
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Authorized Official
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Title or Position | OWNER
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Name | AJIT DAS
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Credential | M.D
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Telephone | 410-384-3625
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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 | D0032132
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License Number State | MD
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