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General NPI Number Information
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NPI Number | 1639137573
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Entity Type | Individual
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Provider Name | DR. MARY ELIZABETH CALLSEN
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Gender | Female
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Dates
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Enumeration Date | 05/02/2006
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Last Update Date | 01/27/2023
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Provider Practice Location Address
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Address Line | 7315 WISCONSIN AVE
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City | BETHESDA
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State | MD
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Zip | 20814-3202
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Country | US
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Telephone | 240-235-9100
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Fax |
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Provider Business Mailing Address
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Address Line | 6201 GREENLEIGH AVE
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City | BALTIMORE
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State | MD
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Zip | 21220-2004
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D0059499
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License Number State | MD
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