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General NPI Number Information
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NPI Number | 1700079423
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Entity Type | Organization
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Legal Business Name | SUSHMA SIDH, M.D.
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Dates
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Enumeration Date | 08/27/2007
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Last Update Date | 08/27/2007
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Provider Practice Location Address
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Address Line | 826 WASHINGTON RD SUITE 203
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City | WESTMINSTER
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State | MD
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Zip | 21157-5750
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Country | US
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Telephone | 410-871-1110
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Fax |
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Provider Business Mailing Address
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Address Line | 826 WASHINGTON RD SUITE 203
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City | WESTMINSTER
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State | MD
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Zip | 21157-5750
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Country | US
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Telephone | 410-871-1110
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | TINA GENNITY
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Credential |
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Telephone | 410-871-6539
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number |
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License Number State |
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