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General NPI Number Information
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NPI Number | 1386443208
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Entity Type | Organization
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Legal Business Name | PEDIATRIX MEDICAL GROUP OF THE MID-ATLANTIC PC
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Dates
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Enumeration Date | 03/12/2025
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 11400 ROCKVILLE PIKE STE C25
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City | ROCKVILLE
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State | MD
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Zip | 20852-3063
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Country | US
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Telephone | 301-761-4760
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 CONCORD TER
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City | SUNRISE
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State | FL
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Zip | 33323-2843
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Country | US
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Telephone | 800-243-3839
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Fax |
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Authorized Official
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Title or Position | ASSISTANT SECRETARY
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Name | NICHOLAS GLASER
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Credential |
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Telephone | 954-384-0175
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number |
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License Number State |
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