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General NPI Number Information
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NPI Number | 1376302729
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Entity Type | Organization
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Legal Business Name | UPMC WESTERN MARYLAND HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 03/18/2024
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Last Update Date | 03/18/2024
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Provider Practice Location Address
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Address Line | 12501 WILLOWBROOK RD FL 2
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City | CUMBERLAND
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State | MD
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Zip | 21502-2506
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Country | US
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Telephone | 240-964-8425
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Fax |
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Provider Business Mailing Address
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Address Line | 12501 WILLOWBROOK RD FL 3
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City | CUMBERLAND
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State | MD
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Zip | 21502-2506
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Country | US
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Telephone | 240-964-8568
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | PATRICIA DEVLIN
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Credential |
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Telephone | 412-432-7469
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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