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NPI Code Detail

MEDICARE: BAILEY ELIZABETH SANEMAN MS, RD, LDN

MEDICARE:   BAILEY ELIZABETH SANEMAN  MS, RD, LDN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian86173142MD
2133V00000XRegistered DietitianDX5182MD

General Provider Information

NPI Number : 1699373761
Entity Type Code : Individual
Provider Name (Legal Business Name) : BAILEY ELIZABETH SANEMAN MS, RD, LDN
Provider Business Mailing Address
First Line : 1122 KENILWORTH DR STE 105
Second Line :
City : TOWSON
State : MD
Zip : 21204-2141
Country : US
Telephone Number : 443-841-7785
Fax Number :
Provider Business Practice Location Address
First Line : 1122 KENILWORTH DR STE 105
Second Line :
City : TOWSON
State : MD
Zip : 21204-2141
Country : US
Telephone Number : 443-841-7785
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2020
Last Update Date : 02/04/2021

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Directions to “ BAILEY ELIZABETH SANEMAN MS, RD, LDN” Practice Location

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