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General NPI Number Information
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NPI Number | 1558112086
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Entity Type | Organization
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Legal Business Name | UNION HOSPITAL OF CECIL COUNTY, INC.
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Dates
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Enumeration Date | 04/01/2024
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 123 SINGERLY AVE
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City | ELKTON
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State | MD
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Zip | 21921-5523
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Country | US
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Telephone | 410-398-2436
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Fax |
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Provider Business Mailing Address
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Address Line | 4000 NEXUS DR # E3
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City | WILMINGTON
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State | DE
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Zip | 19803-3000
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Country | US
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Telephone | 302-325-6667
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Fax |
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Authorized Official
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Title or Position | CORPORATE DIRECTOR OF REVENUE CYCLE
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Name | JUDY RIESEN
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Credential |
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Telephone | 302-623-7168
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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