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General NPI Number Information
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NPI Number | 1518774116
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF MARYLAND FAMILY MEDICINE ASSOCIATES, P.A.
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Dates
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Enumeration Date | 12/17/2024
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 5890 WATERLOO RD
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City | COLUMBIA
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State | MD
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Zip | 21045-2617
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Country | US
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Telephone | 410-328-6792
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 64380
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City | BALTIMORE
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State | MD
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Zip | 21264-4380
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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 | CORP DIRECTOR
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Name | SHAVONDA L WILLIAMS
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Credential |
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Telephone | 667-214-2507
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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