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General NPI Number Information
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NPI Number | 1508656711
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Entity Type | Organization
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Legal Business Name | GREATER BALTIMORE MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 05/09/2025
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 10085 RED RUN BLVD STE 207
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City | OWINGS MILLS
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State | MD
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Zip | 21117-4836
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Country | US
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Telephone | 410-363-7123
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Fax | 410-363-0054
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Provider Business Mailing Address
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Address Line | 6701 N CHARLES ST SOUTH CHAPMAN BLDG, STE 102
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City | BALTIMORE
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State | MD
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Zip | 21204
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Country | US
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Telephone | 443-849-2435
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Fax | 443-849-3138
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Authorized Official
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Title or Position | INTERIM EVP/CFO
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Name | JOSHUA CAMPBELL
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Credential |
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Telephone | 443-849-3844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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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 | 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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