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General NPI Number Information
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NPI Number | 1609757459
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Entity Type | Organization
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Legal Business Name | ANNAPOLIS RHEUMATOLOGY LLC
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Dates
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Enumeration Date | 09/09/2025
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 510 UPPER CHESAPEAKE DR STE 413
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City | BEL AIR
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State | MD
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Zip | 21014-4328
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Country | US
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Telephone | 410-897-1941
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Fax |
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Provider Business Mailing Address
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Address Line | 166 DEFENSE HWY STE 200
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City | ANNAPOLIS
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State | MD
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Zip | 21401-8922
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Country | US
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Telephone | 410-897-1941
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ASHOK CHERIAN JACOB
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Credential |
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Telephone | 301-367-3235
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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