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General NPI Number Information
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NPI Number | 1366639312
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Entity Type | Organization
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Legal Business Name | UPPER CHESAPEAKE ENDOCRINOLOGY ASSOCIATES, LLC
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Dates
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Enumeration Date | 10/03/2007
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 650 MCHENRY RD STE 3300
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City | ABERDEEN
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State | MD
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Zip | 21001-2683
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Country | US
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Telephone | 443-843-6100
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Fax | 443-843-6130
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Provider Business Mailing Address
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Address Line | 520 UPPER CHESAPEAKE DR SUITE 405
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City | BEL AIR
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State | MD
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Zip | 21014-4339
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Country | US
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Telephone | 443-643-3340
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Fax | 443-643-3343
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Authorized Official
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Title or Position | CFO
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Name | MARCUS THOMAS AUGUSTUS PRIOLO
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Credential |
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Telephone | 443-643-3340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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