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General NPI Number Information
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NPI Number | 1912044355
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Entity Type | Individual
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Provider Name | NADYA AVERBACH MD
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Gender | Female
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 10/07/2021
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Provider Practice Location Address
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Address Line | 201 E UNIVERSITY PKWY UNION MEMORIAL HOSPITAL, SUITE 226 SOUTH BUILDING
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City | BALTIMORE
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State | MD
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Zip | 21218-2829
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Country | US
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Telephone | 410-554-6559
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Fax |
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Provider Business Mailing Address
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Address Line | 8000 DERBY LN
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City | OWINGS MILLS
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State | MD
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Zip | 21117-5218
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Country | US
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Telephone | 703-728-8346
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | T1968
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License Number State | MD
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