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General NPI Number Information
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NPI Number | 1578569240
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Entity Type | Organization
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Legal Business Name | JOHNS HOPKINS UNIVERSITY
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Dates
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Enumeration Date | 06/27/2005
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 8600 OLD GEORGETOWN RD
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City | BETHESDA
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State | MD
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Zip | 20814-1422
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Country | US
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Telephone | 410-955-5000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 64286
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City | BALTIMORE
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State | MD
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Zip | 21264-4286
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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 | SR PRODUCTION UNIT MGR
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Name | SHAVONDA L KEATING
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Credential |
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Telephone | 410-933-6430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State | MD
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