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General NPI Number Information
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NPI Number | 1609821388
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Entity Type | Individual
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Provider Name | TARA MIDDLEBROOK SCHECK MD
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Gender | Female
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 05/09/2013
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Provider Practice Location Address
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Address Line | 12916 CONAMAR DR SUITE 204
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City | HAGERSTOWN
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State | MD
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Zip | 21742-2760
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Country | US
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Telephone | 301-791-0600
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Fax |
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Provider Business Mailing Address
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Address Line | 3100 WYMAN PARK DR
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City | BALTIMORE
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State | MD
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Zip | 21211-2803
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D0060275
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License Number State | MD
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