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General NPI Number Information
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NPI Number | 1386460558
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF MARYLAND PEDIATRIC ASSOCIATES, PA
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Dates
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Enumeration Date | 12/03/2024
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 510 UPPER CHESAPEAKE DR
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City | BEL AIR
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State | MD
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Zip | 21014-4328
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Country | US
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Telephone | 667-214-2400
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Fax | 410-879-7761
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Provider Business Mailing Address
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Address Line | PO BOX 62063
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City | BALTIMORE
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State | MD
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Zip | 21264-2063
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Country | US
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Telephone | 410-706-5181
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Fax | 410-706-5103
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Authorized Official
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Title or Position | DIRECTOR OF PROFESIONAL FEES
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Name | MARGIE OLLER BURR
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Credential |
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Telephone | 410-706-5181
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2080P0201X
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Taxonomy Name | Pediatric Allergy/Immunology Physician
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License Number |
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License Number State |
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