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General NPI Number Information
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NPI Number | 1376353433
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF MARYLAND ORTHOPAEDICS ASSOCIATES, P.A.
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Dates
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Enumeration Date | 01/10/2025
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 650 MCHENRY RD
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City | ABERDEEN
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State | MD
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Zip | 21001-2607
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Country | US
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Telephone | 410-448-6400
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Fax | 410-448-6296
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Provider Business Mailing Address
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Address Line | 2200 KERNAN DR STE 1154
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City | BALTIMORE
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State | MD
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Zip | 21207-6665
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Country | US
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Telephone | 667-214-2732
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Fax | 410-448-6296
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | JOSHUA GODMAN
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Credential |
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Telephone | 667-214-2732
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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