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General NPI Number Information
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NPI Number | 1548423981
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Entity Type | Organization
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Legal Business Name | MARYLAND SURGICENTER, LLC
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Dates
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Enumeration Date | 07/07/2008
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 10151 YORK RD SUITE 112-114
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City | HUNT VALLEY
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State | MD
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Zip | 21030-3314
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Country | US
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Telephone | 410-628-8200
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Fax |
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Provider Business Mailing Address
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Address Line | 10151 YORK RD SUITE 112-114
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City | HUNT VALLEY
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State | MD
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Zip | 21030-3314
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Country | US
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Telephone | 410-628-8200
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. ALYSON D WELLS
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Credential | M.D.
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Telephone | 410-628-8200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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