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General NPI Number Information
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NPI Number | 1366790693
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Entity Type | Organization
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Legal Business Name | MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER INC
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Dates
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Enumeration Date | 08/16/2012
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Last Update Date | 04/03/2024
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Provider Practice Location Address
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Address Line | 7503 SURRATTS RD
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City | CLINTON
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State | MD
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Zip | 20735-3358
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Country | US
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Telephone | 301-868-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 7503 SURRATTS RD
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City | CLINTON
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State | MD
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Zip | 20735-3358
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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 | CHIEF FINANCIAL OFFICER
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Name | MR. MICHAEL MEISEL
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Credential |
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Telephone | 301-475-6003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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