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General NPI Number Information
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NPI Number | 1205658036
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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 | 10/31/2024
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 208 PLUMTREE RD STE G
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City | BEL AIR
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State | MD
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Zip | 21015-6056
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Country | US
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Telephone | 443-569-5642
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Fax |
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Provider Business Mailing Address
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Address Line | 6701 N CHARLES STREET S. CHAPMAN BUILDING, STE 102
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City | BALTIMORE
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State | MD
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Zip | 21204
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Country | US
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Telephone | 443-849-2435
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Fax |
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Authorized Official
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Title or Position | EVP & CFO
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Name | LAURIE R 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 | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number |
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License Number State |
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