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General NPI Number Information
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NPI Number | 1821109307
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Entity Type | Individual
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Provider Name | ANGELA HOPKINS-LUNA M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 12/03/2019
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Provider Practice Location Address
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Address Line | 5400 OLD COURT RD SUITE 302
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-5100
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Country | US
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Telephone | 410-521-3636
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Fax | 410-521-6879
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Provider Business Mailing Address
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Address Line | 10333 LOG RAFT
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City | COLUMBIA
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State | MD
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Zip | 21044-3806
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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 |
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | D0055453
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | D0055453
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License Number State | MD
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