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General NPI Number Information
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NPI Number | 1013831387
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Entity Type | Organization
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Legal Business Name | MENOCAL MEDICAL SERVICES PA
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Dates
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Enumeration Date | 08/07/2026
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Last Update Date | 08/07/2026
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Provider Practice Location Address
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Address Line | 1800 DUAL HWY STE 101
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City | HAGERSTOWN
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State | MD
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Zip | 21740-6602
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Country | US
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Telephone | 240-215-1138
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Fax | 240-215-1140
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Provider Business Mailing Address
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Address Line | 1050 KEY PKWY STE 102
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City | FREDERICK
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State | MD
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Zip | 21702-4496
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Country | US
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Telephone | 240-215-1138
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Fax | 240-215-1140
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | NATALIA MENOCAL
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Credential |
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Telephone | 240-586-0160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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