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General NPI Number Information
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NPI Number | 1245238336
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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 | 07/12/2005
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 6401 YORK RD DRUMCASTLE CENTER 3RD FLOOR
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City | BALTIMORE
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State | MD
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Zip | 21212-2152
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Country | US
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Telephone | 410-887-2725
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Fax | 410-887-2785
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Provider Business Mailing Address
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Address Line | 6401 YORK RD DRUMCASTLE CENTER 3RD FLOOR
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City | BALTIMORE
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State | MD
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Zip | 21212-2152
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Country | US
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Telephone | 410-887-2725
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Fax | 410-887-2785
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Authorized Official
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Title or Position | DIRECTOR, BUREAU OF LONG TERM CARE
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Name | DELLA JEAN LEISTER
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Credential | RN
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Telephone | 410-887-2789
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HH7027
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License Number State | MD
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