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General NPI Number Information
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NPI Number | 1730824400
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Entity Type | Organization
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Legal Business Name | GBMC HOSPITAL BASED SERVICES, LLC.
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Dates
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Enumeration Date | 04/28/2022
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Last Update Date | 04/28/2022
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Provider Practice Location Address
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Address Line | 6701 N CHARLES ST
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City | BALTIMORE
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State | MD
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Zip | 21204-6808
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Country | US
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Telephone | 443-849-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 6701 N CHARLES ST S. CHAPMAN BUILDING STE 102
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City | BALTIMORE
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State | MD
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Zip | 21204-6808
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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 | EVP & CFO
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Name | LAURIE R BEYER
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Credential |
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Telephone | 443-849-2519
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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