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General NPI Number Information
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NPI Number | 1285736207
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Entity Type | Organization
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Legal Business Name | PODIATRY GROUP OF ANNAPOLIS AMBULATORY SURGICAL CENTER
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 139 OLD SOLOMONS ISLAND ROAD SUITE C
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City | ANNANPOLIS
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State | MD
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Zip | 21401-0902
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Country | US
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Telephone | 410-224-4448
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Fax | 443-949-9539
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Provider Business Mailing Address
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Address Line | 139 OLD SOLOMONS ISLAND ROAD SUITE C
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City | ANNANPOLIS
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State | MD
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Zip | 21401-0902
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Country | US
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Telephone | 410-224-4448
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Fax | 443-949-9539
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES M MCKEE
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Credential | DPM
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Telephone | 410-224-4448
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | A1134
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License Number State | MD
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