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General NPI Number Information
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NPI Number | 1770299075
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Entity Type | Organization
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Legal Business Name | CLEARALL PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 01/30/2023
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 907 S MAIN ST STE A
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City | HAMPSTEAD
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State | MD
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Zip | 21074-2273
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Country | US
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Telephone | 888-231-8207
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Fax |
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Provider Business Mailing Address
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Address Line | 7500 MONTPELIER RD STE 150 MAIL STOP 370
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City | LAUREL
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State | MD
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Zip | 20723-6012
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Country | US
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Telephone | 888-231-8207
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Fax |
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Authorized Official
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Title or Position | OWNER/PARTNER
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Name | ANDREW WHELTON
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Credential | MD
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Telephone | 443-277-5527
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number |
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License Number State |
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