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General NPI Number Information
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NPI Number | 1487710901
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Entity Type | Organization
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Legal Business Name | MAVROPHILIPOS & MAVROPHILIPOS
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 11/01/2007
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Provider Practice Location Address
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Address Line | 8113 HARFORD RD SUITE 100
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City | PARKVILLE
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State | MD
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Zip | 21234-5707
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Country | US
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Telephone | 410-882-5256
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Fax |
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Provider Business Mailing Address
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Address Line | 1639 E BALTIMORE STREET
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City | BALTIMORE
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State | MD
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Zip | 21231
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Country | US
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Telephone | 410-882-5256
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Fax | 410-882-6595
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Authorized Official
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Title or Position | DOCTOR
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Name | ZACHARIAS V MAVROPHILIPOS
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Credential | MD
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Telephone | 410-882-5256
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | D0050622
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License Number State | MD
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