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NPI 1891855763

NPI 1891855763 : GREATER BALTIMORE MEDICAL CENTER, INC : BALTIMORE, MD

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General NPI Number Information
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    NPI Number           |    1891855763
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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     |    12/11/2006
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    Last Update Date     |    04/08/2025
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Provider Practice Location Address
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    Address Line         |    6701 N CHARLES ST DEPT OBGYN 
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21204-6808
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    Country              |    US
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    Telephone            |    443-849-2000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 418953 
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    City                 |    BOSTON
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    State                |    MA
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    Zip                  |    02241-8953
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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                 |     LAURIE  BEYER 
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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        |    207VE0102X
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    Taxonomy Name        |    Reproductive Endocrinology Physician
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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        |    207VG0400X
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    Taxonomy Name        |    Gynecology 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        |    207VM0101X
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    Taxonomy Name        |    Maternal & Fetal Medicine 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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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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        |    363LW0102X
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    Taxonomy Name        |    Women's Health 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        |    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 #8
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    Taxonomy Code        |    367A00000X
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    Taxonomy Name        |    Advanced Practice Midwife
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    License Number       |    
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    License Number State |    
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Taxonomy #9
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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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