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General NPI Number Information
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NPI Number | 1508807355
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 07/07/2009
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Provider Practice Location Address
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Address Line | 22 S GREENE ST
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City | BALTIMORE
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State | MD
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Zip | 21201-1544
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Country | US
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Telephone | 410-328-6704
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Fax | 410-328-4124
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Provider Business Mailing Address
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Address Line | PO BOX 64795
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City | BALTIMORE
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State | MD
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Zip | 21264-4795
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Country | US
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Telephone | 410-328-6704
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Fax | 410-328-4124
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Authorized Official
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Title or Position | DIRECTOR OF PROFESSIONAL FEES
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Name | DENISE OUADDA
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Credential |
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Telephone | 410-328-6566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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