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General NPI Number Information
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NPI Number | 1487813192
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Entity Type | Organization
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Legal Business Name | ST MAR'S COUNTY DEPT OF HUMAN SERVICES
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Dates
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Enumeration Date | 06/06/2008
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Last Update Date | 06/06/2008
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Provider Practice Location Address
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Address Line | 23115 LEONARD HALL DRIVE DEPARTMENT OF HUMAN SERVICES
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City | LEONARDTOWN
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State | MD
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Zip | 20650
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Country | US
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Telephone | 301-475-4200
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Fax | 301-475-4082
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Provider Business Mailing Address
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Address Line | PO BOX 653 DEPARTMENT OF HUMAN SERVICES
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City | LEONARDTOWN
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State | MD
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Zip | 20650-0653
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Country | US
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Telephone | 301-475-4200
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Fax | 301-475-4082
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Authorized Official
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Title or Position | MENTAL HEALTH COORDINATOR
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Name | MS. JULIE ANN OHMAN
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Credential | BA
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Telephone | 301-475-4200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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