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General NPI Number Information
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NPI Number | 1487518783
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Entity Type | Organization
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Legal Business Name | FREDERICK HEALTH MEDICAL GROUP LLC
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Dates
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Enumeration Date | 12/11/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 501 W 7TH ST
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City | FREDERICK
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State | MD
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Zip | 21701-4586
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Country | US
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Telephone | 240-215-6310
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Fax |
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Provider Business Mailing Address
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Address Line | 1 FREDERICK HEALTH WAY
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City | FREDERICK
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State | MD
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Zip | 21701-9435
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AVP
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Name | SHELBY BOGGS
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Credential |
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Telephone | 240-315-3423
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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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 | 175M00000X
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Taxonomy Name | Lay Midwife
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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 | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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