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NPI 1205826724

NPI 1205826724 : WASHINGTON COUNTY EMERGENCY MEDICINE PHYSICIANS, LLC : HAGERSTOWN, MD

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General NPI Number Information
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    NPI Number           |    1205826724
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    Entity Type          |    Organization 
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    Legal Business Name  |    WASHINGTON COUNTY EMERGENCY MEDICINE PHYSICIANS, LLC 
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Dates
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    Enumeration Date     |    10/26/2005
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    Last Update Date     |    02/11/2008
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Provider Practice Location Address
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    Address Line         |    251 E ANTIETAM ST 
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    City                 |    HAGERSTOWN
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    State                |    MD
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    Zip                  |    21740-5724
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    Country              |    US
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    Telephone            |    240-313-9500
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 631479 
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21263-1479
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    Country              |    US
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    Telephone            |    301-293-0232
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    Fax                  |    301-631-1002
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Authorized Official
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    Title or Position    |    CHAIRMAN
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    Name                 |    DR. THOMAS  GILBERT 
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    Credential           |    MD
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    Telephone            |    301-790-8372
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QE0002X
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    Taxonomy Name        |    Emergency Care Clinic/Center
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    License Number       |    
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    License Number State |    
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