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General NPI Number Information
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NPI Number | 1700726700
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Entity Type | Organization
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Legal Business Name | SUMMIT MARYLAND MEDICAL, LLC
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Dates
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Enumeration Date | 03/30/2026
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Last Update Date | 03/30/2026
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Provider Practice Location Address
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Address Line | 1587 SULPHUR SPRING RD STE 109
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City | ARBUTUS
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State | MD
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Zip | 21227-2552
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Country | US
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Telephone | 410-246-1508
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Fax |
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Provider Business Mailing Address
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Address Line | 1587 SULPHUR SPRING RD STE 109
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City | ARBUTUS
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State | MD
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Zip | 21227-2552
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Country | US
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Telephone | 410-246-1508
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PROGRAMS
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Name | CHRISTINA MEYER
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Credential |
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Telephone | 410-961-1866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine 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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number |
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License Number State |
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