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General NPI Number Information
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NPI Number | 1144298290
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Entity Type | Organization
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Legal Business Name | STATE OF MARYLAND - DHMH
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3 CEDAR ST
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City | CAMBRIDGE
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State | MD
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Zip | 21613-2362
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Country | US
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Telephone | 410-228-3223
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Fax | 410-901-8195
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Provider Business Mailing Address
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Address Line | 3 CEDAR ST
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City | CAMBRIDGE
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State | MD
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Zip | 21613-2362
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Country | US
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Telephone | 410-228-3223
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Fax | 410-901-8195
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Authorized Official
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Title or Position | ASSISTANT DIRECTOR OF NURSING
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Name | MRS. CHERYL MCLAUGHLIN
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Credential | RN,BSN,MSN
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Telephone | 410-228-3223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State | MD
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