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General NPI Number Information
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NPI Number | 1619221801
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Entity Type | Organization
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Legal Business Name | ASC DEVELOPMENT COMPANY, LLC
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Dates
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Enumeration Date | 11/09/2012
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 6820 HOSPITAL DR SUITE 302
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City | BALTIMORE
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State | MD
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Zip | 21237-4352
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Country | US
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Telephone | 410-682-2823
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Fax | 410-682-9551
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Provider Business Mailing Address
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Address Line | PO BOX 931606
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City | ATLANTA
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State | GA
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Zip | 31193-1606
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Country | US
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Telephone | 410-682-2823
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Fax | 410-682-9551
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Authorized Official
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Title or Position | RCM MANAGER
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Name | SHANEKA TINCH
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Credential |
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Telephone | 469-458-9222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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