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General NPI Number Information
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NPI Number | 1013739382
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Entity Type | Organization
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Legal Business Name | GREATER BALTIMORE MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 10/29/2024
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 6565 N CHARLES ST STE 501
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City | BALTIMORE
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State | MD
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Zip | 21204-5802
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Country | US
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Telephone | 443-849-4800
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Fax |
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Provider Business Mailing Address
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Address Line | 6701 N. CHARLES STREET S. CHAPMAN BUILDING, SUITE 102
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City | BALTIMORE
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State | MD
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Zip | 21204
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | INTERIM EVP & CFO
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Name | JOSHUA CAMPBELL
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Credential |
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Telephone | 443-849-3844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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