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General NPI Number Information
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NPI Number | 1437598653
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Entity Type | Organization
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Legal Business Name | DHMH LABORATORIES ADMINISTRATION
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Dates
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Enumeration Date | 06/20/2013
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Last Update Date | 07/25/2013
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Provider Practice Location Address
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Address Line | 201 W PRESTON ST LABORATORY TOWER
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City | BALTIMORE
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State | MD
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Zip | 21201-2301
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Country | US
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Telephone | 410-767-6100
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Fax | 410-333-5403
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Provider Business Mailing Address
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Address Line | 201 W PRESTON ST LABORATORY TOWER
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City | BALTIMORE
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State | MD
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Zip | 21201-2301
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Country | US
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Telephone | 410-767-6100
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Fax | 410-333-5403
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Authorized Official
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Title or Position | LABORATORY DIRECTOR
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Name | DR. ROBERT A MYERS
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Credential | PH.D.
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Telephone | 410-767-6100
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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 | 21D0649758
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License Number State | MD
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