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General NPI Number Information
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NPI Number | 1740672476
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Entity Type | Organization
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Legal Business Name | ARUNDEL PAIN ASSOCIATES
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Dates
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Enumeration Date | 03/04/2015
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Last Update Date | 11/13/2020
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Provider Practice Location Address
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Address Line | 6730 HOLABIRD AVE STE 201
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City | DUNDALK
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State | MD
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Zip | 21222-1700
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Country | US
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Telephone | 443-376-5785
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Fax | 443-376-5715
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Provider Business Mailing Address
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Address Line | 716 PETERSON RD
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City | MIDDLE RIVER
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State | MD
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Zip | 21220-3793
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CONSULTANT
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Name | CONSTANCE BENNETT
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Credential |
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Telephone | 443-803-8086
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LA0401X
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Taxonomy Name | Addiction Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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