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General NPI Number Information
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NPI Number | 1356737084
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Entity Type | Organization
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Legal Business Name | JOHNS HOPKINS UNIVERSITY
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Dates
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Enumeration Date | 04/09/2015
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Last Update Date | 04/09/2015
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Provider Practice Location Address
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Address Line | 855 N WOLFE ST RANGOS 520
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City | BALTIMORE
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State | MD
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Zip | 21205-1503
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Country | US
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Telephone | 410-614-0932
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Fax |
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Provider Business Mailing Address
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Address Line | 855 N WOLFE ST RANGOS 530
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City | BALTIMORE
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State | MD
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Zip | 21205-1503
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Country | US
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Telephone | 410-614-0932
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Fax |
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Authorized Official
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Title or Position | PROFESSOR
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Name | DR. CHARLOTTE GAYDOS
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Credential | MS, MPH, DRPH
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Telephone | 410-614-0932
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 008; CONTROL: 52631
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License Number State | MD
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