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General NPI Number Information
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NPI Number | 1376339952
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF MD OBSTETRICAL AND GYNECOLOGICAL ASSO. PA
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Dates
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Enumeration Date | 04/18/2025
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 5001 SILVER HILL RD
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City | SUITLAND
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State | MD
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Zip | 20746-5215
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Country | US
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Telephone | 667-214-1301
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Fax |
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Provider Business Mailing Address
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Address Line | 250 W PRATT ST STE 880
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City | BALTIMORE
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State | MD
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Zip | 21201-6829
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Country | US
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Telephone | 667-214-1301
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Fax | 410-328-3379
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Authorized Official
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Title or Position | DIRECTOR
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Name | RICK BRINEGAR
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Credential |
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Telephone | 667-214-1301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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