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General NPI Number Information
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NPI Number | 1851880652
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Entity Type | Individual
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Provider Name | SHELLEY NICOLE DOLITSKY MD
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Gender | Female
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Dates
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Enumeration Date | 05/07/2018
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 10630 LITTLE PATUXENT PARKWAY CENTURY PLAZA BUILDING 1000, SUITE 305
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City | COLUMBIA
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State | MD
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Zip | 21044
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Country | US
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Telephone | 410-997-6999
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Fax |
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Provider Business Mailing Address
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Address Line | 10630 LITTLE PATUXENT PARKWAY CENTURY PLAZA BUILDING 1000, SUITE 305
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City | COLUMBIA
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State | MD
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Zip | 21044
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | D0091412
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License Number State | MD
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