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General NPI Number Information
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NPI Number | 1497989891
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Entity Type | Organization
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Legal Business Name | CHESAPEAKE ORTHOPAEDIC AND SPORTS MEDICINE CENTER
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Dates
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Enumeration Date | 05/13/2009
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Last Update Date | 05/13/2009
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Provider Practice Location Address
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Address Line | 7556 TEAGUE RD SUITE 240
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City | HANOVER
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State | MD
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Zip | 21076-1200
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Country | US
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Telephone | 410-760-4343
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Fax |
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Provider Business Mailing Address
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Address Line | 200 HOSPITAL DR
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City | GLEN BURNIE
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State | MD
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Zip | 21061-5884
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Country | US
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Telephone | 410-760-4343
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Fax | 410-768-5835
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Authorized Official
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Title or Position | BILLING SPECIALIST
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Name | NANCY FORD
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Credential |
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Telephone | 443-822-9202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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