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General NPI Number Information
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NPI Number | 1689272262
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Entity Type | Organization
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Legal Business Name | MARSHA SEIDELMAN, M.D., LLC
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Dates
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Enumeration Date | 10/15/2020
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Last Update Date | 02/10/2021
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Provider Practice Location Address
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Address Line | 10605 CONCORD STREET SUITE 302
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City | KENSINGTON
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State | MD
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Zip | 20895-5020
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Country | US
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Telephone | 443-914-4110
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Fax | 443-914-4111
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Provider Business Mailing Address
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Address Line | 10605 CONCORD STREET SUITE 302
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City | KENSINGTON
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State | MD
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Zip | 20895-5020
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Country | US
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Telephone | 443-914-4110
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Fax | 443-914-4111
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Authorized Official
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Title or Position | OWNER
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Name | MARSHA J SEIDELMAN
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Credential | MD
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Telephone | 443-914-4110
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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 |
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License Number State |
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