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General NPI Number Information
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NPI Number | 1528608379
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Entity Type | Organization
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Legal Business Name | BALTIMORE INTEGRATIVE HEALTH LLC
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Dates
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Enumeration Date | 01/09/2020
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Last Update Date | 01/09/2020
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Provider Practice Location Address
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Address Line | 1800 N CHARLES ST STE 810
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City | BALTIMORE
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State | MD
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Zip | 21201-5987
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Country | US
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Telephone | 410-982-6440
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Fax | 410-982-6387
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Provider Business Mailing Address
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Address Line | 30 WEST GUDE DR SUITE 375
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City | ROCKVILLE
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State | MD
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Zip | 20850-5987
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Country | US
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Telephone | 301-251-0037
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Fax | 301-545-0885
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | CAROL S HUTSON
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Credential |
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Telephone | 301-251-0037
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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