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General NPI Number Information
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NPI Number | 1134354566
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Entity Type | Organization
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Legal Business Name | ADVANCED PICC SPECIALISTS, INC
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Dates
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Enumeration Date | 05/29/2009
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 8028 RITCHIE HWY STE 131
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City | PASADENA
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State | MD
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Zip | 21122-1030
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Country | US
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Telephone | 443-453-6115
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Fax |
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Provider Business Mailing Address
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Address Line | 8028 RITCHIE HWY STE 131
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City | PASADENA
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State | MD
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Zip | 21122-1030
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Country | US
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Telephone | 443-610-8962
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MICHAEL P CHRISTODOULOS
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Credential |
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Telephone | 443-610-8962
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | R185270
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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