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NPI Code Detail

MEDICARE: HELEN CORPORAN

MEDICARE:   HELEN  CORPORAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianC-616-302-012-608MD

General Provider Information

NPI Number : 1841736204
Entity Type Code : Individual
Provider Name (Legal Business Name) : HELEN CORPORAN
Provider Business Mailing Address
First Line : 15480 ANNAPOLIS RD SUITE RD SUITE 202 #407
Second Line :
City : BOWIE
State : MD
Zip : 20715-1803
Country : US
Telephone Number : 301-392-7075
Fax Number : 301-576-5487
Provider Business Practice Location Address
First Line : 15480 ANNAPOLIS RD STE RD
Second Line :
City : BOWIE
State : MD
Zip : 20715-1852
Country : US
Telephone Number : 301-392-7075
Fax Number : 301-576-5487
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2017
Last Update Date : 01/10/2017

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Directions to “ HELEN CORPORAN ” Practice Location

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