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General NPI Number Information
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NPI Number | 1427224930
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Entity Type | Organization
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Legal Business Name | CALVERT MEMORIAL HOSPITAL OF CALVERT COUNTY
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Dates
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Enumeration Date | 05/05/2008
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Last Update Date | 04/16/2015
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Provider Practice Location Address
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Address Line | 130 HOSPITAL RD SUITE 201
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City | PRINCE FREDERICK
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State | MD
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Zip | 20678-4015
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Country | US
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Telephone | 410-286-7992
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Fax | 410-286-7990
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Provider Business Mailing Address
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Address Line | 100 HOSPITAL RD
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City | PRINCE FREDERICK
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State | MD
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Zip | 20678-4017
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Country | US
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Telephone | 410-286-7992
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Fax | 410-286-7990
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Authorized Official
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Title or Position | PRESIDENT & C.E.O
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Name | DEAN TEAGUE
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Credential |
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Telephone | 410-535-8239
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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