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NPI 1396779427

NPI 1396779427 : UNIVERSITY OF MARYLAND ANESTHESIOLOGY ASSOCIATES,P.A. : BALTIMORE, MD

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General NPI Number Information
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    NPI Number           |    1396779427
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    Entity Type          |    Organization 
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    Legal Business Name  |    UNIVERSITY OF MARYLAND ANESTHESIOLOGY ASSOCIATES,P.A. 
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Dates
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    Enumeration Date     |    07/11/2006
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    Last Update Date     |    02/12/2008
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Provider Practice Location Address
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    Address Line         |    22 S GREENE STREET 
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21201
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    Country              |    US
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    Telephone            |    410-328-6331
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    Fax                  |    410-328-1674
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Provider Business Mailing Address
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    Address Line         |    PO BOX 64374 
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21264-4374
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    Country              |    US
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    Telephone            |    410-328-6331
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    Fax                  |    410-328-1674
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |    MRS. KIMBERLY  FLAYHART 
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    Credential           |    
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    Telephone            |    410-328-6720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207LP2900X
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    Taxonomy Name        |    Pain Medicine (Anesthesiology) Physician
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    License Number       |    
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    License Number State |    
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