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General NPI Number Information
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NPI Number | 1417004250
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Entity Type | Organization
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Legal Business Name | CENTRAL MARYLAND PRIMARY CARE ASSOCIATES
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 12/06/2011
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Provider Practice Location Address
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Address Line | 201 BACK RIVER NECK RD SUITE 109
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City | BALTIMORE
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State | MD
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Zip | 21221-3949
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Country | US
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Telephone | 410-391-8733
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Fax | 410-391-9630
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Provider Business Mailing Address
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Address Line | 201 BACK RIVER NECK RD SUITE 109
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City | BALTIMORE
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State | MD
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Zip | 21221-3949
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Country | US
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Telephone | 410-391-8733
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Fax | 410-391-9630
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Authorized Official
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Title or Position | SENIOR PARTNER
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Name | RAMESH SABAPATHI
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Credential | M.D.
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Telephone | 410-391-8733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | MD
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