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NPI 1780912022

NPI 1780912022 : ENDOCRINOLOGY ASSOCIATES OF SOUTHERN MARYLAND LLC : CLINTON, MD

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General NPI Number Information
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    NPI Number           |    1780912022
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    Entity Type          |    Organization 
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    Legal Business Name  |    ENDOCRINOLOGY ASSOCIATES OF SOUTHERN MARYLAND LLC 
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Dates
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    Enumeration Date     |    11/24/2009
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    Last Update Date     |    01/13/2026
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Provider Practice Location Address
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    Address Line         |    9135 PISCATAWAY RD STE 340 
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    City                 |    CLINTON
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    State                |    MD
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    Zip                  |    20735-2576
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    Country              |    US
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    Telephone            |    301-856-7445
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    Fax                  |    240-244-1277
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Provider Business Mailing Address
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    Address Line         |    PO BOX 160 
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    City                 |    CLINTON
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    State                |    MD
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    Zip                  |    20735-0160
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    Country              |    US
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    Telephone            |    301-856-7445
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    Fax                  |    240-244-1277
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Authorized Official
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    Title or Position    |    SOLE PROPRIETOR
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    Name                 |    DR. ALLISON ELISE KERR 
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    Credential           |    M.D.
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    Telephone            |    301-856-7445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RE0101X
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    Taxonomy Name        |    Endocrinology, Diabetes & Metabolism Physician
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    License Number       |    D0060652
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    License Number State |    MD
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