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General NPI Number Information
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NPI Number | 1124485990
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Entity Type | Organization
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Legal Business Name | MCCREADY FOUNDATION, INC
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Dates
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Enumeration Date | 01/25/2016
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Last Update Date | 01/25/2016
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Provider Practice Location Address
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Address Line | 12208 BRITTINGHAM LN
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City | PRINCESS ANNE
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State | MD
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Zip | 21853-2214
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Country | US
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Telephone | 410-968-1029
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Fax | 410-968-1025
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Provider Business Mailing Address
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Address Line | 201 HALL HWY
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City | CRISFIELD
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State | MD
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Zip | 21817-1237
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Country | US
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Telephone | 410-968-1029
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Fax | 410-968-1025
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Authorized Official
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Title or Position | PATIENT ACCOUNT MANAGER
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Name | FRANKLIN COLLINS
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Credential |
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Telephone | 410-968-1029
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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