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General NPI Number Information
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NPI Number | 1912917980
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Entity Type | Organization
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Legal Business Name | KOCHMANN COLLECTOR, P.A.
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 35 E PADONIA RD
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City | TIMONIUM
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State | MD
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Zip | 21093-2306
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Country | US
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Telephone | 410-683-3330
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 525
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City | MONKTON
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State | MD
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Zip | 21111-0525
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Country | US
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Telephone | 410-683-3330
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MRS. ANATOLI AMARANTIDIS COLLECTOR
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Credential |
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Telephone | 410-683-3330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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