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General NPI Number Information
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NPI Number | 1922036771
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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 | 06/29/2006
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 6701 N CHARLES ST SUITE 5855 DEPARTMENT OF GENERAL SURGERY
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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 | 443-849-2450
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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 | 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 #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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