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General NPI Number Information
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NPI Number | 1407894330
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Entity Type | Individual
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Provider Name | NATALIE BLAGOWIDOW M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 04/21/2008
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Provider Practice Location Address
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Address Line | 6701 N CHARLES ST ROOM 2310
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City | BALTIMORE
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State | MD
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Zip | 21204-6808
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Country | US
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Telephone | 443-849-2536
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 631568
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City | BALTIMORE
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State | MD
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Zip | 21263-1568
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207SC0300X
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Taxonomy Name | Clinical Cytogenetics Physician
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License Number | D56939
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207SG0201X
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Taxonomy Name | Clinical Genetics (M.D.) Physician
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License Number | D56939
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | D56939
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License Number State | MD
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