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General NPI Number Information
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NPI Number | 1528272192
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Entity Type | Organization
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Legal Business Name | PENINSULA REGIONAL MEDICAL CENTER
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 100 E CARROLL ST PATIENT ACCOUNTS
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City | SALISBURY
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State | MD
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Zip | 21801-5422
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Country | US
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Telephone | 410-543-7437
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Fax | 410-543-7020
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Provider Business Mailing Address
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Address Line | 100 E CARROLL ST PATIENT ACCOUNTS
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City | SALISBURY
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State | MD
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Zip | 21801-5422
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Country | US
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Telephone | 410-543-7437
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Fax | 410-543-7020
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Authorized Official
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Title or Position | DIRECTOR, PATIENT FINANCIAL SERVICE
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Name | MR. JEFF KARNS
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Credential | CPAM
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Telephone | 410-543-7437
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080H0002X
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Taxonomy Name | Pediatric Hospice and Palliative Medicine Physician
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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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 | 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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