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General NPI Number Information
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NPI Number | 1649501073
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Entity Type | Organization
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Legal Business Name | SHORE HEALTH SYSTEM, INC.
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Dates
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Enumeration Date | 01/25/2010
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Last Update Date | 03/01/2018
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Provider Practice Location Address
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Address Line | 6 CAULK LANE
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City | EASTON
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State | MD
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Zip | 21601-3854
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Country | US
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Telephone | 410-822-5559
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Fax | 410-822-8238
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Provider Business Mailing Address
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Address Line | 219 S WASHINGTON STREET
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City | EASTON
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State | MD
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Zip | 21601-2913
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Country | US
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Telephone | 410-822-1000
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Fax | 410-822-7834
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | MR. KENNETH D KOZEL
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Credential |
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Telephone | 410-822-1000
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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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