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General NPI Number Information
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NPI Number | 1508291410
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Entity Type | Individual
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Provider Name | KRISTY MICHELLE FOGLE PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/10/2013
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Last Update Date | 09/10/2013
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Provider Practice Location Address
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Address Line | 5401 OLD COURT ROAD NORTHWEST HOSPITAL-EMERGENCY DEPARTMENT
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City | RANDALLSTOWN
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State | MD
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Zip | 21133
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Country | US
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Telephone | 443-848-8705
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Fax |
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Provider Business Mailing Address
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Address Line | 31 COOLPOND CT
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City | BALTIMORE
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State | MD
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Zip | 21227-3839
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Country | US
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Telephone | 443-848-8705
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | C0005156
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | C0005156
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License Number State | MD
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