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General NPI Number Information
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NPI Number | 1295075281
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Entity Type | Organization
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Legal Business Name | BALTIMORE ORIOLES LIMITED PARTNERSHIP
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Dates
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Enumeration Date | 02/27/2013
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Last Update Date | 05/13/2013
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Provider Practice Location Address
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Address Line | 1090 EUCLID AVE ED SMITH-BALTIMORE ORIOLES-ATHLETIC TRAINING DEPARTMENT
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City | SARASOTA
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State | FL
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Zip | 34237
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Country | US
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Telephone | 800-825-1890
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Fax |
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Provider Business Mailing Address
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Address Line | 333 W CAMDEN ST BALTIMORE ORIOLES-ATHLETIC TRAINING DEPARTMENT
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City | BALTIMORE
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State | MD
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Zip | 21201-2496
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Country | US
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Telephone | 800-825-1890
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Fax |
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Authorized Official
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Title or Position | HEAD ATHLETIC TRAINER
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Name | RICHIE BANCELLS
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Credential | MS, ATC
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Telephone | 410-547-6220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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