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General NPI Number Information
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NPI Number | 1770580466
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Entity Type | Individual
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Provider Name | EDWARD OLAUGHLIN MD
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Gender | Male
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 11/02/2009
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Provider Practice Location Address
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Address Line | 900 CANTON AVE ANESTHESIA DEPARTMENT
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City | BALTIMORE
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State | MD
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Zip | 21229
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Country | US
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Telephone | 410-368-3045
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Fax |
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Provider Business Mailing Address
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Address Line | 68 S SERVICE RD SUITE 350
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City | MELVILLE
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State | NY
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Zip | 11747-2354
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Country | US
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Telephone | 516-945-3000
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | D0032305
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License Number State | MD
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