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General NPI Number Information
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NPI Number | 1548969322
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Entity Type | Organization
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Legal Business Name | PREMISE HEALTH OF MARYLAND MEDICAL PC
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Dates
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Enumeration Date | 03/01/2023
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 16301 ELLIOTT PKWY
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City | WILLIAMSPORT
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State | MD
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Zip | 21795-4081
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Country | US
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Telephone | 240-313-3818
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Fax | 240-673-3823
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Provider Business Mailing Address
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Address Line | 5500 MARYLAND WAY
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City | BRENTWOOD
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State | TN
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Zip | 37027-7048
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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 | PRESIDENT
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Name | EDWARD WILLIAM SCHWARTZ
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Credential |
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Telephone | 844-407-7557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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