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General NPI Number Information
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NPI Number | 1558229773
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Entity Type | Individual
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Provider Name | JENNA JULIANNA NOTARO PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/15/2026
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 227 SAINT PAUL ST
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City | BALTIMORE
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State | MD
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Zip | 21202-2001
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Country | US
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Telephone | 410-332-9200
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Fax |
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Provider Business Mailing Address
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Address Line | 100 WELCOME ALY
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City | BALTIMORE
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State | MD
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Zip | 21201-2432
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Country | US
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Telephone | 410-979-3222
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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 |
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License Number State |
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