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NPI 1720930449

NPI 1720930449 : GYNEMED ASC LLC : ROSEDALE, MD

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General NPI Number Information
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    NPI Number           |    1720930449
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    Entity Type          |    Organization 
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    Legal Business Name  |    GYNEMED ASC LLC 
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Dates
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    Enumeration Date     |    02/13/2026
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    Last Update Date     |    02/13/2026
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Provider Practice Location Address
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    Address Line         |    17 FONTANA LN STE 201 
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    City                 |    ROSEDALE
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    State                |    MD
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    Zip                  |    21237-3045
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    Country              |    US
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    Telephone            |    443-600-8775
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    Fax                  |    202-381-9979
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Provider Business Mailing Address
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    Address Line         |    16 FRANCIS ST 
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    City                 |    ANNAPOLIS
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    State                |    MD
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    Zip                  |    21401-1772
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    Country              |    US
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    Telephone            |    443-600-8775
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    Fax                  |    202-381-9979
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Authorized Official
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    Title or Position    |    OWNER/MEDICAL DIRECTOR
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    Name                 |    DR. STEPHANIE  PURNELL 
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    Credential           |    MD
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    Telephone            |    443-600-8775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QA1903X
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    Taxonomy Name        |    Ambulatory Surgical Clinic/Center
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    License Number       |    
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    License Number State |    
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