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General NPI Number Information
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NPI Number | 1467025379
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Entity Type | Organization
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Legal Business Name | PEDS WORLD ASSOCIATES CORP
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Dates
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Enumeration Date | 07/19/2021
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Last Update Date | 07/19/2021
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Provider Practice Location Address
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Address Line | 3449 WILKENS AVE STE 308
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City | BALTIMORE
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State | MD
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Zip | 21229-5218
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Country | US
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Telephone | 410-646-1200
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Fax | 410-646-1211
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Provider Business Mailing Address
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Address Line | 3449 WILKENS AVE STE 308
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City | BALTIMORE
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State | MD
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Zip | 21229-5218
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Country | US
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Telephone | 410-646-1200
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Fax | 410-646-1211
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | DORA CECILIA RIOJA-MAZZA
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Credential | MD
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Telephone | 202-378-4100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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