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General NPI Number Information
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NPI Number | 1194736819
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Entity Type | Organization
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Legal Business Name | HOWARD COUNTY NEONATAL SERVICES SERIES
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 5755 CEDAR LN HCGH NICU
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City | COLUMBIA
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State | MD
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Zip | 21044-2912
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Country | US
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Telephone | 410-740-7557
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 64208
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City | BALTIMORE
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State | MD
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Zip | 21264-4208
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Country | US
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Telephone | 443-828-0442
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Fax | 703-289-1414
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. GARY BLECHMAN
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Credential | M.D.
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Telephone | 410-740-7557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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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 | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number |
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License Number State |
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