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General NPI Number Information
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NPI Number | 1538014626
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Entity Type | Organization
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Legal Business Name | SHORE HEALTH SYSTEM INC
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Dates
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Enumeration Date | 03/03/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 125 SHOREWAY DR STE 280
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City | QUEENSTOWN
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State | MD
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Zip | 21658-1684
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Country | US
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Telephone | 410-827-3818
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Fax | 410-827-7635
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Provider Business Mailing Address
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Address Line | 900 ELKRIDGE LANDING RD FL 2
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City | LINTHICUM
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State | MD
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Zip | 21090-2924
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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 | AO
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Name | PAUL STEPHEN NICHOLSON
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Credential |
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Telephone | 410-337-1602
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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