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General NPI Number Information
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NPI Number | 1831257856
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Entity Type | Organization
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Legal Business Name | GREATER BALTIMORE MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 03/27/2008
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Provider Practice Location Address
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Address Line | 1200 E FAYETTE ST
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City | BALTIMORE
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State | MD
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Zip | 21202-4721
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Country | US
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Telephone | 410-522-1200
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 631568
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City | BALTIMORE
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State | MD
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Zip | 21263-1568
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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 | EXECUTIVE VICE PRESIDENT & CFO
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Name | MR. ERIC MELCHIOR
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Credential |
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Telephone | 443-849-2519
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #7
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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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