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General NPI Number Information
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NPI Number | 1528185527
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Entity Type | Organization
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Legal Business Name | HEALTH EDUCATION RESOURCE CENTER
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1734 MARYLAND AVE
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City | BALTIMORE
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State | MD
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Zip | 21201-5804
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Country | US
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Telephone | 410-685-1180
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Fax | 410-752-3353
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Provider Business Mailing Address
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Address Line | 1734 MARYLAND AVE
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City | BALTIMORE
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State | MD
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Zip | 21201-5804
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Country | US
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Telephone | 410-685-1180
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Fax | 410-752-3353
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. LEONARD ORTEGA
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Credential | M.D.
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Telephone | 410-685-1180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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