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General NPI Number Information
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NPI Number | 1982649596
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Entity Type | Individual
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Provider Name | MARGARET ANN WESDOCK RD
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Gender | Female
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Dates
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Enumeration Date | 06/18/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4940 EASTERN AVENUE JOHNS HOPKINS BAYVIEW MEDICAL CENTER CLINICAL NUTRITION
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City | BALTIMORE
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State | MD
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Zip | 21224-2780
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Country | US
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Telephone | 410-550-1549
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Fax | 410-550-0650
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Provider Business Mailing Address
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Address Line | 7413 KIMBARK COURT APT F
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City | BALTIMORE
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State | MD
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Zip | 21237-3733
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Country | US
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Telephone | 302-222-1574
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Fax |
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DX2548
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License Number State | MD
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