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General NPI Number Information
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NPI Number | 1255417200
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Entity Type | Organization
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Legal Business Name | MARYLAND INPATIENT CARE SPECIALISTS LLC
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 11/07/2011
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Provider Practice Location Address
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Address Line | 2001 MEDICAL PARKWAY
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City | ANNAPOLIS
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State | MD
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Zip | 21236
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Country | US
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Telephone | 301-651-2749
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Fax |
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Provider Business Mailing Address
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Address Line | 9900B FRANKLIN SQUARE DRIVE
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City | BALTIMORE
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State | MD
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Zip | 21236
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Country | US
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Telephone | 410-931-0400
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Fax | 410-931-1009
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Authorized Official
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Title or Position | OWNER
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Name | DOUGLAS MITCHELL
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Credential | M.D.
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Telephone | 301-651-2749
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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