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NPI 1487524039

NPI 1487524039 : HEAL-BALTIMORE INC : BALTIMORE, MD

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General NPI Number Information
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    NPI Number           |    1487524039
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEAL-BALTIMORE INC 
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Dates
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    Enumeration Date     |    11/10/2025
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    Last Update Date     |    12/01/2025
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Provider Practice Location Address
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    Address Line         |    5404 HARFORD RD 
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21214-2215
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    Country              |    US
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    Telephone            |    443-570-3710
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5404 HARFORD RD 
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21214-2215
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    Country              |    US
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    Telephone            |    443-570-3710
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    Fax                  |    
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |    DR. RHONDA  SAPP 
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    Credential           |    DOM, M.AC., L.AC.
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    Telephone            |    443-570-3710
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM1300X
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    Taxonomy Name        |    Multi-Specialty Clinic/Center
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    License Number       |    
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    License Number State |    
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