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General NPI Number Information
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NPI Number | 1083415947
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Entity Type | Organization
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Legal Business Name | WESTERN MARYLAND HEALTH CARE CORPORATION
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 28 HERSHBERGER LN
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City | GRANTSVILLE
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State | MD
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Zip | 21536-1172
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Country | US
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Telephone | 301-895-5107
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Fax | 833-448-0359
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Provider Business Mailing Address
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Address Line | 28 HERSHBERGER LN
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City | GRANTSVILLE
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State | MD
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Zip | 21536-1172
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Country | US
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Telephone | 301-901-3749
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Fax | 301-786-0511
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Authorized Official
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Title or Position | CFO
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Name | JAMES MOU
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Credential |
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Telephone | 301-533-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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