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General NPI Number Information
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NPI Number | 1922838648
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Entity Type | Organization
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Legal Business Name | ANNE ARUNDEL DERMATOLOGY, P.A.
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Dates
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Enumeration Date | 08/06/2024
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 8401 CONNECTICUT AVE STE 210
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City | CHEVY CHASE
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State | MD
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Zip | 20815-5837
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Country | US
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Telephone | 240-482-2555
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Fax | 240-482-2556
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Provider Business Mailing Address
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Address Line | PO BOX 23329
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City | NEW YORK
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State | NY
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Zip | 10087-3329
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Country | US
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Telephone | 410-873-8500
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Fax |
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Authorized Official
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Title or Position | AO
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Name | ANGELA RUTH PETERMAN
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Credential |
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Telephone | 410-384-9311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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