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General NPI Number Information
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NPI Number | 1649117912
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Entity Type | Organization
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Legal Business Name | GUILFORD MEDICAL CENTER
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Dates
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Enumeration Date | 05/04/2026
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Last Update Date | 05/04/2026
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Provider Practice Location Address
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Address Line | 4300 YORK RD
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City | BALTIMORE
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State | MD
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Zip | 21212-4817
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Country | US
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Telephone | 443-552-1607
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Fax | 443-552-1585
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Provider Business Mailing Address
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Address Line | 12182 HAYLAND FARM WAY
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City | ELLICOTT CITY
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State | MD
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Zip | 21042-6015
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Country | US
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Telephone | 443-552-1607
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Fax | 443-552-1588
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | SUYI PARK
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Credential | MD
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Telephone | 443-629-0858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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