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General NPI Number Information
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NPI Number | 1700718145
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Entity Type | Organization
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Legal Business Name | MONTGOMERY BRAIN AND SPINE LLC
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Dates
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Enumeration Date | 06/01/2026
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Last Update Date | 06/01/2026
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Provider Practice Location Address
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Address Line | 3995 OLD TOWN RD STE 202
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City | HUNTINGTOWN
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State | MD
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Zip | 20639-3041
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Country | US
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Telephone | 301-585-7900
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1757
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City | BALTIMORE
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State | MD
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Zip | 21203-1757
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Country | US
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Telephone | 301-585-7900
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Fax |
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Authorized Official
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Title or Position | ACCOUNT MANAGER
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Name | CHRISTINA BAUM
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Credential |
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Telephone | 301-585-7900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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