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General NPI Number Information
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NPI Number | 1487859492
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Entity Type | Organization
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Legal Business Name | ALLERGY & ASTHMA CENTER OF CENTRAL MARYLAND, PA
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Dates
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Enumeration Date | 06/19/2007
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Last Update Date | 02/07/2024
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Provider Practice Location Address
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Address Line | 9891 BROKEN LAND PKWY STE 100
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City | COLUMBIA
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State | MD
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Zip | 21046-1156
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Country | US
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Telephone | 410-730-6000
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Fax | 410-997-5188
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Provider Business Mailing Address
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Address Line | 9891 BROKEN LAND PKWY STE 100
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City | COLUMBIA
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State | MD
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Zip | 21046-1156
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Country | US
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Telephone | 410-730-6000
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Fax | 410-997-5188
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL H GOLDMAN
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Credential | M.D.
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Telephone | 410-730-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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