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NPI 1487768909

NPI 1487768909 : ALICIA ANNE CURRAN RD, LDN : BALTIMORE, MD

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General NPI Number Information
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    NPI Number           |    1487768909
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    Entity Type          |    Individual 
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    Provider Name        |    ALICIA ANNE CURRAN RD, LDN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/19/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    600 N WOLFE ST 
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21287-0005
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    Country              |    US
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    Telephone            |    410-955-6716
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    Fax                  |    410-614-6929
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Provider Business Mailing Address
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    Address Line         |    302 BAYLOR RD 
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    City                 |    GLEN BURNIE
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    State                |    MD
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    Zip                  |    21061-4602
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    Country              |    US
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    Telephone            |    410-766-4586
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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        |    133V00000X
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    Taxonomy Name        |    Registered Dietitian
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    License Number       |    DX2561
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    License Number State |    MD
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