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General NPI Number Information
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NPI Number | 1669270732
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Entity Type | Organization
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Legal Business Name | CLINICAL ASSOCIATES P A
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Dates
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Enumeration Date | 03/05/2025
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 120 WESTMINISTER PIKE SUITE 104
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City | REISTERSTOWN
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State | MD
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Zip | 21136-1027
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Country | US
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Telephone | 410-526-7800
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Fax |
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Provider Business Mailing Address
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Address Line | 515 FAIRMOUNT AVE STE 400
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City | TOWSON
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State | MD
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Zip | 21286-8518
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Country | US
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Telephone | 410-494-1237
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Fax | 410-494-1202
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Authorized Official
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Title or Position | ADMINISTRATOR/CREDENTIALING
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Name | CHANEL MORRIS
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Credential |
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Telephone | 410-494-1237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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