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General NPI Number Information
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NPI Number | 1417748765
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Entity Type | Organization
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Legal Business Name | CUMBERLAND VALLEY RETINA CONSULTANTS PC
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Dates
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Enumeration Date | 05/15/2025
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 6333 EXECUTIVE BLVD
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City | ROCKVILLE
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State | MD
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Zip | 20852-3905
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Country | US
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Telephone | 301-665-1712
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Fax | 301-665-1714
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Provider Business Mailing Address
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Address Line | 1800 DUAL HWY STE 201
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City | HAGERSTOWN
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State | MD
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Zip | 21740-6636
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Country | US
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Telephone | 301-665-1712
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Fax | 301-665-1714
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Authorized Official
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Title or Position | BILLING SUPERVISOR
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Name | AMY WARREN
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Credential |
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Telephone | 301-665-1712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number |
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License Number State |
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