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General NPI Number Information
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NPI Number | 1679362818
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF MARYLAND PHYSICIANS P.A.
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 3450 OLD WASHINGTON RD STE 202
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City | WALDORF
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State | MD
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Zip | 20602-3250
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Country | US
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Telephone | 240-607-2010
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Fax | 240-607-2655
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Provider Business Mailing Address
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Address Line | PO BOX 64442
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City | BALTIMORE
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State | MD
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Zip | 21264-4442
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Country | US
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Telephone | 410-328-8040
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Fax | 410-328-9191
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Authorized Official
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Title or Position | DIRECTOR OF PROFESSIONAL FEES
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Name | ADAM KAUFMAN
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Credential |
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Telephone | 410-328-8040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0008X
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Taxonomy Name | Hepatology Physician
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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