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General NPI Number Information
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NPI Number | 1841479938
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Entity Type | Organization
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Legal Business Name | DRS BIONDO & SIM PA
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Dates
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Enumeration Date | 10/25/2007
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Last Update Date | 03/13/2009
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Provider Practice Location Address
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Address Line | 251 LEWIS LANE SUITE 201
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City | HAVRE DE GRACE
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State | MD
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Zip | 21078-3753
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Country | US
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Telephone | 410-939-4477
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Fax | 410-939-1153
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Provider Business Mailing Address
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Address Line | 251 LEWIS LN SUITE 201
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City | HAVRE DE GRACE
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State | MD
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Zip | 21078-3751
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Country | US
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Telephone | 410-939-4477
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Fax | 410-939-1153
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. SANDRA M GALLION
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Credential |
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Telephone | 410-939-4477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number |
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License Number State |
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