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General NPI Number Information
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NPI Number | 1235645995
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Entity Type | Organization
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Legal Business Name | HARFORD COUNTY MARYLAND
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Dates
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Enumeration Date | 12/18/2017
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Last Update Date | 07/02/2018
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Provider Practice Location Address
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Address Line | 2220 ADY RD
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City | FOREST HILL
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State | MD
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Zip | 21050
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Country | US
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Telephone | 410-638-3196
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Fax | 410-638-4248
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Provider Business Mailing Address
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Address Line | 2220 ADY RD
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City | FOREST HILL
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State | MD
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Zip | 21050-1707
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Country | US
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Telephone | 410-638-3196
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Fax | 410-638-4248
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Authorized Official
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Title or Position | TREASURER
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Name | ROBERT F SANDLASS JR.
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Credential |
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Telephone | 410-638-3316
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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