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General NPI Number Information
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NPI Number | 1215120951
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Entity Type | Organization
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Legal Business Name | CARROLLTOWNE MEDICAL CENTER P.A.
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Dates
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Enumeration Date | 08/27/2007
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Last Update Date | 07/01/2010
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Provider Practice Location Address
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Address Line | 1380 PROGRESS WAY SUITE112
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City | ELDERSBURG
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State | MD
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Zip | 21784-6464
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Country | US
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Telephone | 410-549-2000
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Fax | 410-549-2103
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Provider Business Mailing Address
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Address Line | 1380 PROGRESS WAY SUITE112
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City | ELDERSBURG
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State | MD
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Zip | 21784-6464
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Country | US
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Telephone | 410-549-2000
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Fax | 410-549-2103
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. KAREN TURGEON
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Credential |
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Telephone | 410-549-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | H0037356
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D0033540
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License Number State | MD
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