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General NPI Number Information
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NPI Number | 1124016696
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Entity Type | Organization
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Legal Business Name | BALTIMORE WASHINGTON MEDICAL CENTER INC.
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Dates
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Enumeration Date | 10/10/2005
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 301 HOSPITAL DR
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City | GLEN BURNIE
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State | MD
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Zip | 21061-5803
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Country | US
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Telephone | 410-787-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 301 HOSPITAL DR
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City | GLEN BURNIE
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State | MD
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Zip | 21061-5803
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Country | US
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Telephone | 410-787-4000
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Fax |
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Authorized Official
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Title or Position | SR VP FINANCE
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Name | WILLIAM BRETT MCCONE
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Credential |
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Telephone | 410-787-4529
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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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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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