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General NPI Number Information
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NPI Number | 1942021852
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Entity Type | Organization
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Legal Business Name | HARFORD GASTROENTEROLOGY ASSOCIATES PA
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Dates
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Enumeration Date | 10/23/2024
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 251 LEWIS LN STE 105
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City | HAVRE DE GRACE
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State | MD
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Zip | 21078-3752
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Country | US
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Telephone | 443-347-4700
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Fax | 443-643-4707
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Provider Business Mailing Address
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Address Line | 100 WALTER WARD BLVD STE 100
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City | ABINGDON
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State | MD
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Zip | 21009-1283
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Country | US
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Telephone | 443-347-4700
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Fax | 410-452-1107
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Authorized Official
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Title or Position | PRESIDENT
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Name | ASHEESH SOOD
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Credential | MD
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Telephone | 443-347-4700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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