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NPI 1760298574

NPI 1760298574 : M MANAGEMENT GROUP LLC : ANNAPOLIS, MD

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General NPI Number Information
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    NPI Number           |    1760298574
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    Entity Type          |    Organization 
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    Legal Business Name  |    M MANAGEMENT GROUP LLC 
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Dates
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    Enumeration Date     |    12/06/2024
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    Last Update Date     |    02/21/2025
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Provider Practice Location Address
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    Address Line         |    900 VAN BUREN ST 
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    City                 |    ANNAPOLIS
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    State                |    MD
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    Zip                  |    21403-2124
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    Country              |    US
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    Telephone            |    410-267-8653
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4806 U ST NW 
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    City                 |    WASHINGTON
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    State                |    DC
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    Zip                  |    20007-1546
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    Country              |    US
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    Telephone            |    202-543-4800
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    Fax                  |    
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Authorized Official
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    Title or Position    |    BILLING MANAGER
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    Name                 |     KRYSTLE D BROWN 
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    Credential           |    
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    Telephone            |    410-800-6251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RI0008X
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    Taxonomy Name        |    Hepatology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207RN0300X
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    Taxonomy Name        |    Nephrology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    207RP1001X
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    Taxonomy Name        |    Pulmonary Disease Physician
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    License Number       |    
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    License Number State |    
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