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General NPI Number Information
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NPI Number | 1730479080
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Entity Type | Organization
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Legal Business Name | NORTHWEST HOSPITAL CENTER INC
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Dates
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Enumeration Date | 04/07/2011
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Last Update Date | 10/20/2021
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Provider Practice Location Address
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Address Line | 5401 OLD COURT RD
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-5103
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Country | US
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Telephone | 410-701-4455
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Fax | 410-701-4422
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Provider Business Mailing Address
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Address Line | 5401 OLD COURT RD
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-5103
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Country | US
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Telephone | 410-701-4455
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Fax | 410-701-4422
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Authorized Official
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Title or Position | AVP
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Name | DAVID MCCORMICK
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Credential | PHARM D.
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Telephone | 410-701-4618
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | P05509
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License Number State | MD
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