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General NPI Number Information
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NPI Number | 1184175440
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Entity Type | Organization
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Legal Business Name | BLACK NURSES ROCK - BALTIMORE. MD CHAPTER
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Dates
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Enumeration Date | 10/20/2016
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Last Update Date | 10/20/2016
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Provider Practice Location Address
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Address Line | 7017 HAMLET AVENUE
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City | PARKVILLE
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State | MD
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Zip | 21234
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Country | US
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Telephone | 410-921-8696
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 44367
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City | NOTTINGHAM
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State | MD
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Zip | 21236-6367
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Country | US
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Telephone | 410-921-8696
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Fax |
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Authorized Official
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Title or Position | LPN
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Name | MS. CHARLENE HARROD-OWUAMANA
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Credential | HBOT
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Telephone | 410-921-8696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State | MD
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