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General NPI Number Information
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NPI Number | 1013874163
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Entity Type | Organization
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Legal Business Name | MARYLAND FAMILY CARE, INC
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Dates
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Enumeration Date | 01/08/2026
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 1011 BALTIMORE BLVD
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City | WESTMINSTER
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State | MD
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Zip | 21157-7055
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Country | US
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Telephone | 410-374-4747
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Fax | 443-507-0003
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Provider Business Mailing Address
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Address Line | 301 ST PAUL PLACE MEDICAL STAFF OFFICE
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City | BALTIMORE
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State | MD
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Zip | 21202-2102
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Country | US
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Telephone | 410-659-2963
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Fax | 410-332-9789
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT/CFO
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Name | JUSTIN DEIBEL
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Credential |
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Telephone | 410-659-2905
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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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Taxonomy #2
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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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