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General NPI Number Information
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NPI Number | 1922282466
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Entity Type | Organization
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Legal Business Name | PHILIP J. FERRIS, M.D., P.A.
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Dates
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Enumeration Date | 12/19/2007
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Last Update Date | 12/19/2007
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Provider Practice Location Address
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Address Line | 9103 FRANKLIN SQUARE DR SUITE 307
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City | BALTIMORE
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State | MD
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Zip | 21237-3900
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Country | US
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Telephone | 443-777-6225
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Fax | 410-391-4016
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Provider Business Mailing Address
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Address Line | 9103 FRANKLIN SQUARE DR SUITE 307
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City | BALTIMORE
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State | MD
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Zip | 21237-3900
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Country | US
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Telephone | 443-777-6225
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Fax | 410-391-4016
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Authorized Official
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Title or Position | PRESIDENT
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Name | PHILIP JEFFREY FERRIS
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Credential | M.D.
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Telephone | 443-777-6225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | D0033135
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License Number State | MD
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