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General NPI Number Information
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NPI Number | 1447047394
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Entity Type | Organization
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Legal Business Name | LINTHICUM PEDIATRICS, LLC
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Dates
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Enumeration Date | 04/23/2025
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 605 GLOBAL WAY STE 119
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City | LINTHICUM
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State | MD
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Zip | 21090-2222
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Country | US
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Telephone | 667-888-7337
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Fax |
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Provider Business Mailing Address
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Address Line | 605 GLOBAL WAY STE 119
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City | LINTHICUM
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State | MD
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Zip | 21090-2222
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | JAIME HILLIARD
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Credential |
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Telephone | 443-286-7750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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