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General NPI Number Information
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NPI Number | 1750335402
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Entity Type | Organization
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Legal Business Name | SAINT PAUL PLACE SPECIALISTS, INC.
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 301 SAINT PAUL PL EMERGENCY DEPT.
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City | BALTIMORE
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State | MD
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Zip | 21202-2102
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Country | US
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Telephone | 410-332-9809
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Fax | 410-545-5162
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Provider Business Mailing Address
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Address Line | PO BOX 64075
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City | BALTIMORE
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State | MD
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Zip | 21264-4075
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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 | SENIOR VICE PRESIDENT
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Name | MR. ROBERT A EDWARDS
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Credential |
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Telephone | 410-951-1773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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