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General NPI Number Information
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NPI Number | 1336595552
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Entity Type | Organization
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Legal Business Name | JOURNEY HEALTH CENTER
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Dates
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Enumeration Date | 05/06/2016
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Last Update Date | 05/03/2019
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Provider Practice Location Address
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Address Line | 1808 WOODLAWN DR SUITE H
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City | BALTIMORE
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State | MD
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Zip | 21207-4023
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Country | US
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Telephone | 410-298-0734
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Fax | 410-510-1354
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Provider Business Mailing Address
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Address Line | 1808 WOODLAWN DR SUITE H
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City | HANOVER
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State | MD
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Zip | 21076-1921
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Country | US
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Telephone | 410-209-7041
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Fax | 410-510-1354
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Authorized Official
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Title or Position | OWNER
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Name | ROBIN WARREN-DORSEY
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Credential | CRNP DNP
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Telephone | 410-209-7041
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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