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General NPI Number Information
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NPI Number | 1598761355
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Entity Type | Organization
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Legal Business Name | UPPER CHESAPEAKE MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 06/24/2005
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Last Update Date | 12/08/2023
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Provider Practice Location Address
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Address Line | 500 UPPER CHESAPEAKE DR
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City | BEL AIR
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State | MD
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Zip | 21014-4324
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Country | US
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Telephone | 443-643-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 500 UPPER CHESAPEAKE DR
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City | BEL AIR
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State | MD
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Zip | 21014-4324
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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 | CFO
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Name | MARCUS THOMAS AUGUSTUS PRIOLO
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Credential |
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Telephone | 443-643-3340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 12006
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License Number State | MD
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