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General NPI Number Information
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NPI Number | 1922332659
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Entity Type | Organization
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Legal Business Name | CALVERT MEMORIAL HOSPITAL OF CALVERT COUNTY
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Dates
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Enumeration Date | 09/29/2009
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Last Update Date | 09/29/2009
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Provider Practice Location Address
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Address Line | 2553 N SOLOMONS ISLAND RD
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City | HUNTINGTOWN
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State | MD
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Zip | 20639
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Country | US
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Telephone | 410-535-8402
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Fax | 410-535-8397
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Provider Business Mailing Address
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Address Line | 100 HOSPITAL RD
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City | PRINCE FREDERICK
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State | MD
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Zip | 20678-4017
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Country | US
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Telephone | 410-535-8402
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Fax | 410-535-8397
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. JAMES J XINIS
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Credential |
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Telephone | 410-535-8239
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number | 04-001
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License Number State | MD
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