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General NPI Number Information
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NPI Number | 1174893259
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Entity Type | Organization
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Legal Business Name | BALTIMORE COUNTY MARYLAND
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Dates
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Enumeration Date | 01/06/2012
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Last Update Date | 08/28/2024
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Provider Practice Location Address
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Address Line | 3525 RESOURCE DR
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-4733
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Country | US
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Telephone | 410-887-0600
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Fax | 410-377-9646
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Provider Business Mailing Address
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Address Line | 6401 YORK RD 3RD FLOOR
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City | BALTIMORE
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State | MD
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Zip | 21212-2130
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Country | US
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Telephone | 410-887-2077
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Fax | 410-377-9646
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Authorized Official
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Title or Position | MEDICAL BILLING MANAGER
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Name | MRS. TONIA ROSS
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Credential |
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Telephone | 410-887-0684
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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 |
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