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General NPI Number Information
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NPI Number | 1659194728
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Entity Type | Organization
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Legal Business Name | DRS HICKEN CRANLEY TAYLOR PA
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Dates
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Enumeration Date | 11/06/2024
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 106 BOW ST
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City | ELKTON
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State | MD
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Zip | 21921-5544
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Country | US
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Telephone | 410-644-4379
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Fax |
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Provider Business Mailing Address
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Address Line | 2360 W JOPPA RD STE 224
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City | LUTHERVILLE
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State | MD
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Zip | 21093-4664
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Country | US
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Telephone | 410-644-4379
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | CHRISTIAN HANSEN
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Credential |
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Telephone | 410-644-4379
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number |
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License Number State |
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