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General NPI Number Information
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NPI Number | 1659556413
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Entity Type | Organization
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Legal Business Name | ENDOCRINOLOGY ASSOCIATES OF BALTIMORE LLC
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Dates
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Enumeration Date | 12/29/2007
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Last Update Date | 09/03/2008
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Provider Practice Location Address
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Address Line | 3421 BENSON AVE SUITE 210
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City | BALTIMORE
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State | MD
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Zip | 21227-1056
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Country | US
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Telephone | 410-368-1370
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Fax | 410-368-3569
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Provider Business Mailing Address
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Address Line | 3421 BENSON AVE SUITE 210
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City | BALTIMORE
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State | MD
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Zip | 21227-1056
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Country | US
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Telephone | 410-368-1370
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Fax | 410-368-3569
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Authorized Official
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Title or Position | MEMBER
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Name | DR. ASIF MOHAMED
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Credential | M.D.
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Telephone | 410-368-1370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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