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General NPI Number Information
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NPI Number | 1669555645
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Entity Type | Organization
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Legal Business Name | UNION BRIDGE FAMILY HEALTH CENTER
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 5 N MAIN ST
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City | UNION BRIDGE
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State | MD
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Zip | 21791-9100
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Country | US
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Telephone | 410-775-7272
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Fax | 410-775-7697
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Provider Business Mailing Address
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Address Line | PO BOX 595
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City | UNION BRIDGE
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State | MD
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Zip | 21791-0592
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRES
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Name | MARK MCINTYRE
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Credential |
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Telephone | 410-775-7272
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | P00795
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License Number State | MD
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