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General NPI Number Information
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NPI Number | 1962671743
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Entity Type | Organization
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Legal Business Name | STEPHEN P. CAFFERTY, D.O. & ASSOCIATES,LLC
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Dates
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Enumeration Date | 02/26/2008
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Last Update Date | 02/26/2008
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Provider Practice Location Address
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Address Line | 22333 GREENVIEW PKWY UNIT 5A
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City | GREAT MILLS
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State | MD
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Zip | 20634-4407
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Country | US
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Telephone | 301-737-7885
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Fax | 301-862-9882
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Provider Business Mailing Address
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Address Line | 22333 GREENVIEW PKWY UNIT 5A
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City | GREAT MILLS
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State | MD
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Zip | 20634-4407
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Country | US
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Telephone | 301-737-7885
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Fax | 301-862-9882
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Authorized Official
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Title or Position | CEO/PHYSICIAN
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Name | STEPHEN PATRICK CAFFERTY
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Credential | D.O.
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Telephone | 301-737-7885
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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 | H0037228
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License Number State | MD
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