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General NPI Number Information
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NPI Number | 1801028105
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Entity Type | Organization
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Legal Business Name | THE GOOD SAMARITAN HOSPITAL OF MARYLAND, INC.
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Dates
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Enumeration Date | 08/20/2009
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Last Update Date | 08/20/2009
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Provider Practice Location Address
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Address Line | 5601 LOCH RAVEN BLVD RMB, SUITE 103
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City | BALTIMORE
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State | MD
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Zip | 21239-2905
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Country | US
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Telephone | 443-444-3991
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Fax |
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Provider Business Mailing Address
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Address Line | 5601 LOCH RAVEN BLVD
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City | BALTIMORE
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State | MD
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Zip | 21239-2905
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Country | US
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Telephone | 443-444-8000
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Fax |
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Authorized Official
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Title or Position | V.P. OF FINANCE
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Name | DEANA STOUT
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Credential |
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Telephone | 443-444-3841
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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