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General NPI Number Information
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NPI Number | 1811084718
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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 | 10/10/2006
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Last Update Date | 04/01/2024
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Provider Practice Location 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
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Country | US
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Telephone | 443-444-3841
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Fax |
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Provider Business Mailing Address
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Address Line | 8020 CORPORATE DR
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City | BALTIMORE
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State | MD
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Zip | 21236-4978
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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 | VP FINANCE
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Name | MS. 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 | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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