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General NPI Number Information
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NPI Number | 1407177447
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF MARYLAND MEDICAL CENTER, LLC
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Dates
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Enumeration Date | 06/14/2010
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Last Update Date | 01/19/2024
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Provider Practice Location Address
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Address Line | 1001 W PRATT ST
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City | BALTIMORE
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State | MD
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Zip | 21223-2679
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Country | US
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Telephone | 717-428-0552
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 62498
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City | BALTIMORE
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State | MD
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Zip | 21264-2498
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Country | US
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Telephone | 717-428-0552
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | GEORGE SPRINKEL
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Credential |
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Telephone | 410-328-1501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 100083
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number |
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License Number State |
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