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General NPI Number Information
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NPI Number | 1174076426
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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 | 08/03/2016
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Last Update Date | 10/04/2023
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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 | 410-396-0047
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Fax | 410-462-2923
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Provider Business Mailing Address
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Address Line | 1001 E FAYETTE ST
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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 | 410-396-0047
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Fax | 410-462-2923
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Authorized Official
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Title or Position | BILLING & REVENUE CYCLE MGR.
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Name | MR. TYRONE ALONZO CHAPMAN
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Credential |
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Telephone | 443-739-3253
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number | D0040332
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License Number State | MD
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