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General NPI Number Information
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NPI Number | 1407696586
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Entity Type | Organization
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Legal Business Name | MARYLAND FAMILY CARE, INC
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Dates
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Enumeration Date | 05/28/2024
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Last Update Date | 05/28/2024
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Provider Practice Location Address
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Address Line | 301 ST PAUL PLACE MEDICAL STAFF OFFICE
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City | BALTIMORE
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State | MD
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Zip | 21202
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Country | US
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Telephone | 410-659-2963
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Fax | 410-332-9789
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Provider Business Mailing Address
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Address Line | 301 ST PAUL PLACE MEDICAL STAFF OFFICE
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City | BALTIMORE
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State | MD
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Zip | 21202
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Country | US
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Telephone |
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Fax | 410-332-9789
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Authorized Official
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Title or Position | DIRECTOR
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Name | WILMA ROWE
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Credential | MD
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Telephone | 410-332-9070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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