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General NPI Number Information
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NPI Number | 1194963496
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Entity Type | Organization
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Legal Business Name | GREATER BALTIMORE MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 01/26/2009
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Last Update Date | 06/05/2023
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Provider Practice Location Address
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Address Line | 6535 N CHARLES ST STE 125
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City | BALTIMORE
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State | MD
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Zip | 21204-5826
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Country | US
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Telephone | 443-849-3779
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 631568
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City | BALTIMORE
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State | MD
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Zip | 21263-1568
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXEC VP AND CFO
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Name | LAURIE BEYER
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Credential |
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Telephone | 443-849-2519
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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