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General NPI Number Information
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NPI Number | 1356885032
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Entity Type | Organization
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Legal Business Name | LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 12/14/2016
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Last Update Date | 05/14/2021
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Provider Practice Location Address
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Address Line | 2001 MEDICAL PKWY
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City | ANNAPOLIS
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State | MD
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Zip | 21401-3773
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Country | US
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Telephone | 443-481-1644
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 MEDICAL PKWY STE 606
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City | ANNAPOLIS
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State | MD
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Zip | 21401-3748
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Country | US
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Telephone | 443-481-1644
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT OF FINANCE
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Name | MS. CATHERINE YURKON
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Credential |
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Telephone | 443-481-1644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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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 | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 21D0219804
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License Number State | MD
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