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General NPI Number Information
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NPI Number | 1619188331
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF MARYLAND MEDICAL CENTER, LLC
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 02/01/2024
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Provider Practice Location Address
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Address Line | 22 S GREENE ST
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City | BALTIMORE
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State | MD
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Zip | 21201-1544
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Country | US
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Telephone | 410-328-5791
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Fax | 410-328-1337
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Provider Business Mailing Address
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Address Line | 22 S. GREENE STREET
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City | BALTIMORE
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State | MD
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Zip | 21201-1595
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Country | US
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Telephone | 410-328-5791
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Fax | 410-328-1337
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Authorized Official
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Title or Position | CFO
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Name | GEORGE SPRINKEL
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Credential |
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Telephone | 410-328-1501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 017
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License Number State | MD
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