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General NPI Number Information
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NPI Number | 1487215182
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Entity Type | Organization
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Legal Business Name | M MANAGEMENT GROUP LLC
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Dates
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Enumeration Date | 06/24/2019
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 1051 BRIGHTSEAT RD
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City | LANDOVER
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State | MD
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Zip | 20785-3738
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Country | US
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Telephone | 240-487-4400
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Fax |
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Provider Business Mailing Address
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Address Line | 6 E EAGER STREET BALTIMORE
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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 | 410-835-0009
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | GERARD MOAWAD
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Credential | MD
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Telephone | 202-731-1638
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0000X
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Taxonomy Name | Hematology (Internal 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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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