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General NPI Number Information
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NPI Number | 1235487836
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Entity Type | Organization
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Legal Business Name | MARYLAND BARIATRICS PC
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Dates
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Enumeration Date | 08/29/2012
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Last Update Date | 09/01/2021
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Provider Practice Location Address
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Address Line | 9707 MEDICAL CENTER DR # 200
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City | ROCKVILLE
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State | MD
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Zip | 20850
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Country | US
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Telephone | 301-965-0546
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Fax |
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Provider Business Mailing Address
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Address Line | 9707 MEDICAL CENTER DR # 200
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City | ROCKVILLE
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State | MD
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Zip | 20850
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Country | US
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Telephone | 301-965-0546
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Fax |
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Authorized Official
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Title or Position | SURGEON
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Name | JOSEPH GREENE
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Credential | MD
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Telephone | 240-425-4508
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | M67389
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License Number State | MD
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