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General NPI Number Information
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NPI Number | 1659095263
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Entity Type | Organization
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Legal Business Name | BALTIMORE MEDICAL SYSTEM, INC.
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Dates
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Enumeration Date | 09/27/2022
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Last Update Date | 12/08/2023
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Provider Practice Location Address
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Address Line | 9520 PHILADELPHIA RD
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City | ROSEDALE
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State | MD
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Zip | 21237-4106
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Country | US
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Telephone | 443-596-6200
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Fax | 443-596-6201
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Provider Business Mailing Address
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Address Line | 5525 EASTERN AVE STE 301
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City | BALTIMORE
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State | MD
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Zip | 21224-2796
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Country | US
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Telephone | 443-703-3654
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Fax | 443-703-3238
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Authorized Official
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Title or Position | VP OF PHARMACY OPERATIONS
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Name | DR. DAWN JACOBS
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Credential | PHARMD
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Telephone | 443-703-3654
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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