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General NPI Number Information
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NPI Number | 1821944901
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF MARYLAND ANESTHESIOLOGY ASSOCIATES P.A.
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Dates
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Enumeration Date | 03/10/2026
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 301 HOSPITAL DR
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City | GLEN BURNIE
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State | MD
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Zip | 21061-5803
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Country | US
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Telephone | 667-214-1616
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Fax | 410-328-1674
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Provider Business Mailing Address
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Address Line | PO BOX 64374
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City | BALTIMORE
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State | MD
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Zip | 21264-4374
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Country | US
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Telephone | 667-214-1616
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Fax | 410-328-1674
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Authorized Official
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Title or Position | REIMBURSEMENT OPS CREDENTIALING SPE
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Name | KATELYN PETTIT
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Credential |
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Telephone | 667-214-1353
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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 |
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License Number State |
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