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General NPI Number Information
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NPI Number | 1588551402
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Entity Type | Organization
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Legal Business Name | PRIMARY PEDIATRICS
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Dates
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Enumeration Date | 06/23/2025
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 17341 MELFORD BLVD SUITE M
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City | BOWIE
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State | MD
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Zip | 20715
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Country | US
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Telephone | 301-464-2300
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Fax | 301-464-9604
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Provider Business Mailing Address
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Address Line | 9811 MALLARD DRIVE SUITE #102
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City | LAUREL
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State | MD
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Zip | 20708
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Country | US
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Telephone | 301-776-8000
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Fax | 301-776-8052
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Authorized Official
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Title or Position | PRESIDENT
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Name | VALORIE ANLAGE
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Credential | M.D.
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Telephone | 301-776-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number |
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License Number State |
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