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General NPI Number Information
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NPI Number | 1396799235
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Entity Type | Organization
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Legal Business Name | RISA M. JAMPEL, M.D., P.A.
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 07/06/2010
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Provider Practice Location Address
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Address Line | 21 CROSSROADS DRIVE SUITE 325
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City | OWINGS MILLS
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State | MD
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Zip | 21117
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Country | US
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Telephone | 410-356-0171
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Fax | 410-356-0172
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Provider Business Mailing Address
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Address Line | 21 CROSSROADS DRIVE SUITE 325
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City | OWINGS MILLS
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State | MD
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Zip | 21117
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Country | US
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Telephone | 410-356-0171
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Fax | 410-356-0172
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Authorized Official
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Title or Position | PROPRIETOR
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Name | RISA M JAMPEL
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Credential | M. D.
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Telephone | 410-356-0171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | D0035193
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License Number State | MD
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