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General NPI Number Information
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NPI Number | 1487714150
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Entity Type | Individual
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Provider Name | MARGARET A. FOUNTAIN M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | EXECUTIVE CENTER AT HOOKS LANE 2 RESEVOIR CIRCLE, SUITE 105
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City | BALTIMORE
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State | MD
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Zip | 21208
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Country | US
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Telephone | 443-286-2969
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Fax | 410-323-1203
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Provider Business Mailing Address
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Address Line | 108 CROSS KEYS RD SUITE 'E'
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City | BALTIMORE
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State | MD
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Zip | 21210-1532
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Country | US
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Telephone | 410-435-0512
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Fax | 410-323-1203
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | D20156
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License Number State | MD
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