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NPI 1811872872

NPI 1811872872 : MAIA PERONE CNS : OCEAN CITY, MD

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General NPI Number Information
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    NPI Number           |    1811872872
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    Entity Type          |    Individual 
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    Provider Name        |    MAIA PERONE CNS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/08/2025
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    Last Update Date     |    08/08/2025
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Provider Practice Location Address
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    Address Line         |    9723 VILLAGE LN UNIT 5 
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    City                 |    OCEAN CITY
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    State                |    MD
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    Zip                  |    21842-9741
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    Country              |    US
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    Telephone            |    484-645-1370
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9723 VILLAGE LN UNIT 5 
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    City                 |    OCEAN CITY
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    State                |    MD
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    Zip                  |    21842-9741
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    Country              |    US
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    Telephone            |    484-645-1370
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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        |    133N00000X
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    Taxonomy Name        |    Nutritionist
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    License Number       |    
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    License Number State |    
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