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General NPI Number Information
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NPI Number | 1407841059
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Entity Type | Organization
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Legal Business Name | INTERACTIVE SOFTWARE IN MEDICINE INC
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Dates
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Enumeration Date | 09/20/2005
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 10700 CHARTER DRIVE STE 200
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City | COLUMBIA
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State | MD
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Zip | 21044-3629
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Country | US
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Telephone | 410-715-0108
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Fax | 410-995-3681
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Provider Business Mailing Address
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Address Line | 10700 CHARTER DRIVE STE 200
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City | COLUMBIA
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State | MD
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Zip | 21044-3629
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Country | US
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Telephone | 410-715-0108
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Fax | 410-995-3681
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Authorized Official
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Title or Position | PRESIDENT
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Name | SEAN THOMAS GLOTH
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Credential | MD
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Telephone | 410-715-0108
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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