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General NPI Number Information
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NPI Number | 1730388711
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Entity Type | Organization
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Legal Business Name | BALTIMORE WASHINGTON GASTROENTEROLOGY PA
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 11/30/2007
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Provider Practice Location Address
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Address Line | 1900 E NORTHERN PKWY SUITE 305A
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City | BALTIMORE
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State | MD
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Zip | 21239-2113
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Country | US
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Telephone | 410-435-3023
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Fax | 410-435-3025
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Provider Business Mailing Address
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Address Line | PO BOX 8198
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City | ELKRIDGE
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State | MD
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Zip | 21075-8198
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Country | US
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Telephone | 410-435-3023
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Fax | 410-435-3025
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Authorized Official
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Title or Position | BILLING
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Name | MELISSA GREINER
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Credential |
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Telephone | 866-905-6436
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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