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General NPI Number Information
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NPI Number | 1699527614
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Entity Type | Organization
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Legal Business Name | UPPER CHESAPEAKE MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 04/03/2024
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Last Update Date | 04/03/2024
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Provider Practice Location Address
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Address Line | 660 MCHENRY ROAD
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City | ABERDEEN
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State | MD
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Zip | 21001-2682
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Country | US
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Telephone | 443-843-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 900 ELKRIDGE LANDING RD FL 2
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City | LINTHICUM
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State | MD
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Zip | 21090-2924
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Country | US
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Telephone | 443-462-5010
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MARCUS THOMAS AUGUSTUS PRIOLO
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Credential |
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Telephone | 443-643-3344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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