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General NPI Number Information
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NPI Number | 1770691024
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Entity Type | Organization
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Legal Business Name | ST. MARY'S HOSPITAL OF ST. MARY'S COUNTY, INC
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Dates
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Enumeration Date | 08/28/2006
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Last Update Date | 06/10/2008
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Provider Practice Location Address
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Address Line | 25500 POINT LOOKOUT RD HEALTH CONNECTIONS
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City | LEONARDTOWN
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State | MD
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Zip | 20650-0527
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Country | US
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Telephone | 301-475-6185
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Fax | 301-475-6143
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Provider Business Mailing Address
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Address Line | PO BOX 527 HEALTH CONNECTIONS
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City | LEONARDTOWN
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State | MD
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Zip | 20650-0527
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Country | US
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Telephone | 301-475-6185
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Fax | 301-475-6143
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Authorized Official
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Title or Position | DIABETES EDUCATOR/DIETITIAN
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Name | MS. REBECCA JEAN SUTAY
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Credential | MS, RD, LDN, CDE
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Telephone | 301-475-6185
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NR1301X
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Taxonomy Name | Rural Acute Care Hospital
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License Number | DO0679
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License Number State | MD
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