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General NPI Number Information
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NPI Number | 1467470930
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Entity Type | Organization
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Legal Business Name | 33RD STREET SURGERY CENTER LLC
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 3333 N CALVERT ST STE 360
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City | BALTIMORE
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State | MD
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Zip | 21218-2867
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Country | US
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Telephone | 410-554-4455
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Fax | 410-554-2839
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Provider Business Mailing Address
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Address Line | 3333 N CALVERT ST STE 630
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City | BALTIMORE
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State | MD
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Zip | 21218-2867
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Country | US
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Telephone | 410-554-4455
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Fax | 410-554-2839
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. ANNETTE MARIE MARTYN
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Credential |
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Telephone | 847-888-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | D0057335
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | D35559
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License Number State | MD
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