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General NPI Number Information
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NPI Number | 1164565297
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Entity Type | Organization
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Legal Business Name | CECIL COUNTY INFANTS & TODDLERS PROGRAM
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 201 BOOTH ST
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City | ELKTON
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State | MD
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Zip | 21921-5618
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Country | US
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Telephone | 410-996-5444
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Fax |
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Provider Business Mailing Address
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Address Line | 201 BOOTH ST
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City | ELKTON
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State | MD
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Zip | 21921-5618
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Country | US
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Telephone | 410-996-5444
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Fax |
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Authorized Official
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Title or Position | PROJECT MANAGER
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Name | MR. RICHARD WILKINSON
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Credential |
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Telephone | 410-996-5444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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