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General NPI Number Information
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NPI Number | 1548121403
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Entity Type | Organization
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Legal Business Name | SPRINGSIDE HEALTH PC
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Dates
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Enumeration Date | 11/20/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 8825 STANFORD BLVD STE 140
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City | COLUMBIA
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State | MD
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Zip | 21045-4756
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Country | US
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Telephone | 410-357-1125
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Fax | 410-357-1125
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Provider Business Mailing Address
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Address Line | 647 RIDGELY AVE STE 102
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City | ANNAPOLIS
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State | MD
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Zip | 21401-1069
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Country | US
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Telephone | 410-357-1125
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Fax | 410-357-1125
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL G FIRTH
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Credential | MD
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Telephone | 410-357-1125
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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