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General NPI Number Information
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NPI Number | 1154251676
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Entity Type | Organization
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Legal Business Name | MAYOR AND CITY COUNCIL OF BALTIMORE
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Dates
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Enumeration Date | 05/19/2026
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Last Update Date | 05/22/2026
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Provider Practice Location Address
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Address Line | 1200 E FAYETTE ST
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City | BALTIMORE
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State | MD
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Zip | 21202-4721
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Country | US
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Telephone | 410-545-7000
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Fax | 410-396-5525
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Provider Business Mailing Address
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Address Line | 1001 E FAYETTE ST ATTN: BCHD FISCAL
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City | BALTIMORE
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State | MD
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Zip | 21202-4715
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Country | US
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Telephone | 410-545-7000
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Fax | 410-396-5525
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | REGINA GIBBS
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Credential |
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Telephone | 410-396-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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