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General NPI Number Information
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NPI Number | 1730746975
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF MARYLAND HEALTH ADVANTAGE
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Dates
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Enumeration Date | 05/23/2019
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 1966 GREENSPRING DR STE 100
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City | TIMONIUM
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State | MD
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Zip | 21093-4100
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Country | US
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Telephone | 410-779-9369
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Fax |
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Provider Business Mailing Address
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Address Line | 1966 GREENSPRING DR STE 100
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City | TIMONIUM
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State | MD
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Zip | 21093-4100
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COO
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Name | DAVID MARGOLIT
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Credential |
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Telephone | 410-779-9369
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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