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General NPI Number Information
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NPI Number | 1740354182
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Entity Type | Organization
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Legal Business Name | CHESAPEAKE CARDIAC CARE, P.A.
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Dates
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Enumeration Date | 11/18/2006
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Last Update Date | 06/20/2022
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Provider Practice Location Address
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Address Line | 16900 SCIENCE DR STE 200
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City | BOWIE
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State | MD
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Zip | 20715-4425
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Country | US
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Telephone | 410-573-9805
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Fax | 410-573-9806
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Provider Business Mailing Address
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Address Line | 16900 SCIENCE DR STE 200
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City | BOWIE
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State | MD
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Zip | 20715-4425
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Country | US
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Telephone | 410-573-9805
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Fax | 410-573-9806
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MS. PAGE SMITH
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Credential |
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Telephone | 410-573-9805
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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