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General NPI Number Information
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NPI Number | 1902626765
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Entity Type | Organization
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Legal Business Name | JOHNS HOPKINS COMMUNITY PHYSICIANS
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Dates
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Enumeration Date | 10/15/2024
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 4102 WILSON BLVD
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City | ARLINGTON
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State | VA
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Zip | 22203
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Country | US
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Telephone | 703-462-1777
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Fax | 703-657-1192
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Provider Business Mailing Address
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Address Line | 6201 GREENLEIGH AVE
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City | MIDDLE RIVER
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State | MD
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Zip | 21220-2004
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Country | US
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Telephone | 410-933-0000
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | STEVEN KRAVET
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Credential |
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Telephone | 410-735-4800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease 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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation 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 | 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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