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General NPI Number Information
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NPI Number | 1740584200
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Entity Type | Organization
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Legal Business Name | ELIZABETH ORR SEGAL, M.D.,P.A.
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Dates
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Enumeration Date | 12/27/2010
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Last Update Date | 12/27/2010
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Provider Practice Location Address
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Address Line | 195 THOMAS JOHNSON DR
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City | FREDERICK
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State | MD
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Zip | 21702-5156
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Country | US
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Telephone | 301-695-6900
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Fax | 301-695-3420
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Provider Business Mailing Address
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Address Line | 195 THOMAS JOHNSON DR
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City | FREDERICK
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State | MD
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Zip | 21702-5156
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Country | US
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Telephone | 301-695-6900
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Fax | 301-695-3420
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Authorized Official
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Title or Position | PRESIDENT/ OWNER
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Name | DR. ELIZABETH ORR SEGAL
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Credential | M.D.
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Telephone | 301-695-6900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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