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General NPI Number Information
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NPI Number | 1831060474
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Entity Type | Organization
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Legal Business Name | LIV SPECIALTY CARE CT PC
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Dates
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Enumeration Date | 09/16/2025
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 1809 REISTERSTOWN RD STE 111
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City | PIKESVILLE
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State | MD
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Zip | 21208-6329
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Country | US
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Telephone | 410-904-6626
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Fax |
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Provider Business Mailing Address
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Address Line | 4900 CENTENNIAL BLVD STE 300
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City | NASHVILLE
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State | TN
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Zip | 37209-1105
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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 | CEO
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Name | WOODRUFF HALL BAUM
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Credential |
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Telephone | 646-568-0193
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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