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General NPI Number Information
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NPI Number | 1205894458
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Entity Type | Organization
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Legal Business Name | DORCHESTER COUNTY HEALTH DEPARTMENT
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 12/22/2011
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Provider Practice Location Address
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Address Line | 310 GAY STREET LOWER LEVEL
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City | CAMBRIDGE
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State | MD
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Zip | 21613-1898
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Country | US
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Telephone | 410-228-7714
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Fax |
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Provider Business Mailing Address
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Address Line | 3 CEDAR STREET
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City | CAMBRIDGE
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State | MD
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Zip | 21613-2362
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Country | US
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Telephone | 410-228-7714
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Fax | 410-228-8049
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | MR. JOHN RANDOLPH WINSLOW
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Credential | MHS,CPP
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Telephone | 410-228-7714
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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 | MD-902199
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 13090
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License Number State | MD
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