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General NPI Number Information
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NPI Number | 1104949254
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Entity Type | Organization
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Legal Business Name | CHESAPEAKE BONE AND JOINT CENTER, LLC
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 160 RAILROAD AVE
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City | ELKTON
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State | MD
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Zip | 21921-5538
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Country | US
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Telephone | 410-996-8686
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Fax | 410-398-8997
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Provider Business Mailing Address
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Address Line | 160 RAILROAD AVE
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City | ELKTON
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State | MD
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Zip | 21921-5538
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Country | US
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Telephone | 410-996-8686
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Fax | 410-398-8997
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Authorized Official
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Title or Position | CREDENTIALING
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Name | KRISTEN MILLS
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Credential |
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Telephone | 410-996-8686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | H0063647
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License Number State | MD
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