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General NPI Number Information
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NPI Number | 1912072828
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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 | 11/24/2006
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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 OF CARDIOLOGY
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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 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 PRES & CFO
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Name | MR. 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 | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology 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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology 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 | 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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