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General NPI Number Information
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NPI Number | 1104077387
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Entity Type | Organization
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Legal Business Name | LEVINDALE HEBREW GERIATRIC CENTER & HOSPITAL INC.
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Dates
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Enumeration Date | 10/06/2008
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Last Update Date | 11/21/2017
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Provider Practice Location Address
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Address Line | 2434 W BELVEDERE AVE
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City | BALTIMORE
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State | MD
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Zip | 21215-5267
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Country | US
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Telephone | 410-601-2935
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Fax | 410-601-2928
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Provider Business Mailing Address
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Address Line | 2434 W BELVEDERE AVE
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City | BALTIMORE
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State | MD
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Zip | 21215-5267
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Country | US
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Telephone | 410-601-2935
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Fax | 410-601-2928
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Authorized Official
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Title or Position | DIRECTOR OF REHABILITATION
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Name | MRS. PAMELA GADSON HAWKINS
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Credential |
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Telephone | 410-601-2707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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