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General NPI Number Information
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NPI Number | 1619840733
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Entity Type | Organization
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Legal Business Name | ELMAN RETINA GROUP PA
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Dates
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Enumeration Date | 09/25/2025
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 11055 LITTLE PATUXENT PKWY STE 105
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City | COLUMBIA
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State | MD
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Zip | 21044-2908
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Country | US
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Telephone | 410-686-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 9114 PHILADELPHIA RD STE 310
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City | BALTIMORE
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State | MD
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Zip | 21237-4350
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Country | US
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Telephone | 410-686-3000
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | ASHLEY MUNKER
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Credential |
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Telephone | 410-686-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0108X
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Taxonomy Name | Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number |
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License Number State |
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