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General NPI Number Information
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NPI Number | 1952357881
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Entity Type | Individual
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Provider Name | ANI HYSLOP M.D., M.P.H.
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Gender | Female
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 06/18/2013
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Provider Practice Location Address
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Address Line | 900 S. CATON AVENUE
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City | BALTIMORE
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State | MD
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Zip | 21229
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Country | US
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Telephone | 410-368-2011
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Fax |
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Provider Business Mailing Address
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Address Line | 3718 APPLEBY COURT
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City | GLENWOOD
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State | MD
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Zip | 21738
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Country | US
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Telephone | 410-489-7257
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Fax | 301-572-0999
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | D53090
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License Number State | MD
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