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General NPI Number Information
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NPI Number | 1275606162
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Entity Type | Organization
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Legal Business Name | JOHNS HOPKINS PEDIATRICS AT HOME, INC.
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 5901 HOLABIRD AVENUE SUITE A
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City | BALTIMORE
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State | MD
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Zip | 21224-6015
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Country | US
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Telephone | 410-288-8036
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Fax | 410-288-4369
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Provider Business Mailing Address
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Address Line | 5901 HOLABIRD AVENUE SUITE A
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City | BALTIMORE
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State | MD
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Zip | 21224-6015
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Country | US
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Telephone | 410-288-8036
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Fax | 410-288-4369
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Authorized Official
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Title or Position | VICE PRESIDENT/CFO
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Name | JIM VAN DANIKER
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Credential |
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Telephone | 410-288-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | HH7131
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License Number State | MD
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