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General NPI Number Information
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NPI Number | 1114922341
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Entity Type | Organization
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Legal Business Name | MONTGOMERY GENERAL HOSPITAL, INC.
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Dates
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Enumeration Date | 06/15/2005
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Last Update Date | 10/26/2007
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Provider Practice Location Address
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Address Line | 18101 PRINCE PHILIP DR
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City | OLNEY
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State | MD
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Zip | 20832-1514
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Country | US
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Telephone | 301-774-8649
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Fax | 301-774-9676
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Provider Business Mailing Address
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Address Line | 18101 PRINCE PHILIP DR
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City | OLNEY
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State | MD
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Zip | 20832-1514
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Country | US
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Telephone |
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Fax | 301-774-9676
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Authorized Official
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Title or Position | SR. VICE PRESIDENT/ CFO
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Name | MR. JOHN HOGARTY
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Credential |
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Telephone | 301-774-8649
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 15-202
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License Number State | MD
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