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General NPI Number Information
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NPI Number | 1063360097
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Entity Type | Organization
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Legal Business Name | M MEDICAL GROUP INC
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Dates
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Enumeration Date | 03/17/2026
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Last Update Date | 03/17/2026
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Provider Practice Location Address
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Address Line | 9211 STUART LN
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City | CLINTON
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State | MD
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Zip | 20735-2712
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Country | US
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Telephone | 301-868-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 6 E EAGER ST
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City | BALTIMORE
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State | MD
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Zip | 21202-2506
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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 | BILLING MANAGER
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Name | KRYSTLE D BROWN
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Credential |
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Telephone | 410-800-6251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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