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General NPI Number Information
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NPI Number | 1003635509
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Entity Type | Organization
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Legal Business Name | JOHNS HOPKINS COMMUNITY PHYSICIANS
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Dates
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Enumeration Date | 10/10/2024
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 3501 JOHN SIMMONS ST # A201
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City | URBANA
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State | MD
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Zip | 21704-7964
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Country | US
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Telephone | 240-699-1050
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Fax | 410-367-2353
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Provider Business Mailing Address
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Address Line | 6201 GREENLEIGH AVE
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City | MIDDLE RIVER
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State | MD
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Zip | 21220-2004
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Country | US
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Telephone | 410-933-0000
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Fax | 410-500-4266
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Authorized Official
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Title or Position | AO
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Name | STEVEN KRAVET
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Credential |
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Telephone | 410-735-4800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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