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General NPI Number Information
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NPI Number | 1598825044
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Entity Type | Organization
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Legal Business Name | SHEPPARD PRATT HEALTH SYSTEM, INC.
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 6501 N CHARLES ST
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City | BALTIMORE
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State | MD
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Zip | 21204-6819
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Country | US
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Telephone | 410-938-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 849 FAIRMOUNT AVE FL 5
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City | TOWSON
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State | MD
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Zip | 21286-2624
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Country | US
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Telephone | 443-377-5273
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Fax | 443-659-2429
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Authorized Official
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Title or Position | DIRECTOR, REVENUE CYCLE
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Name | SUSAN KESSLER
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Credential |
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Telephone | 410-382-8111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 03-039
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License Number State | MD
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