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NPI 1770518003

NPI 1770518003 : JOHNS HOPKINS COMMUNITY PHYSICIANS, INC : FREDERICK, MD

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General NPI Number Information
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    NPI Number           |    1770518003
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    Entity Type          |    Organization 
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    Legal Business Name  |    JOHNS HOPKINS COMMUNITY PHYSICIANS, INC 
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Dates
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    Enumeration Date     |    07/12/2006
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    Last Update Date     |    12/03/2025
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Provider Practice Location Address
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    Address Line         |    195 THOMAS JOHNSON DR 
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    City                 |    FREDERICK
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    State                |    MD
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    Zip                  |    21702-5156
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    Country              |    US
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    Telephone            |    410-933-0000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6201 GREENLEIGH AVE 
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21220-2004
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    Country              |    US
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    Telephone            |    410-933-5412
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    Fax                  |    410-500-4266
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     STEVEN  KRAVET 
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    Credential           |    
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    Telephone            |    410-735-4800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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