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General NPI Number Information
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NPI Number | 1275584583
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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 | 05/12/2006
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 6701 N CHARLES ST HARVEY INSTITUTE FOR HUMAN GENETICS
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City | BALTIMORE
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State | MD
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Zip | 21204-6808
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Country | US
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Telephone | 443-849-3131
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 418953
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City | BOSTON
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State | MA
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Zip | 02241-8953
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE VICE PRES & CFO
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Name | MS. LAURIE 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 | 207SC0300X
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Taxonomy Name | Clinical Cytogenetics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207SG0203X
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Taxonomy Name | Clinical Molecular Genetics Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207SG0201X
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Taxonomy Name | Clinical Genetics (M.D.) Physician
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License Number |
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License Number State |
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