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General NPI Number Information
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NPI Number | 1417004698
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Entity Type | Organization
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Legal Business Name | CAROLINE COUNTY HEALTH DEPT. MADC
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 06/09/2023
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Provider Practice Location Address
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Address Line | 403 S 7TH ST
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City | DENTON
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State | MD
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Zip | 21629-1327
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Country | US
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Telephone | 410-479-8065
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Fax | 410-479-4911
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Provider Business Mailing Address
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Address Line | 403 S 7TH ST P.O. BOX 10
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City | DENTON
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State | MD
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Zip | 21629-1327
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Country | US
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Telephone | 410-479-8065
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Fax | 410-479-4911
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Authorized Official
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Title or Position | HEALTH OFFICER
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Name | DR. LELAND SPENCER
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Credential | MD
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Telephone | 410-479-8030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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