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General NPI Number Information
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NPI Number | 1063234136
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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 | 6569 N CHARLES ST STE 307
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City | BALTIMORE
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State | MD
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Zip | 21204-5816
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Country | US
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Telephone | 443-849-2767
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Fax |
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Provider Business Mailing Address
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Address Line | 6701 N. CHARLES ST S. CHAPMAN BUILDING STE 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 | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) 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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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