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General NPI Number Information
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NPI Number | 1386870061
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Entity Type | Organization
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Legal Business Name | B.W. ARTHRITIS & RHEUMATOLOGY, PA
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Dates
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Enumeration Date | 06/08/2009
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Last Update Date | 01/02/2011
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Provider Practice Location Address
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Address Line | 1406B CRAIN HWY S SUITE 207
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City | GLEN BURNIE
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State | MD
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Zip | 21061-4099
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Country | US
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Telephone | 410-590-4730
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Fax | 410-590-4737
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Provider Business Mailing Address
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Address Line | PO BOX 828
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City | HANOVER
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State | MD
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Zip | 21076-0828
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Country | US
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Telephone | 410-590-4730
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Fax | 410-590-4737
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. DEEP DALAL
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Credential | MD
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Telephone | 410-590-4737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | D0064447
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License Number State | MD
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