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General NPI Number Information
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NPI Number | 1568453306
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Entity Type | Organization
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Legal Business Name | COMPTROLLER OF MARYLAND CENTRAL PAYROLL BUREAU
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Dates
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Enumeration Date | 11/01/2005
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Last Update Date | 03/27/2008
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Provider Practice Location Address
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Address Line | 300 SCHEELER RD
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City | CHESTERTOWN
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State | MD
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Zip | 21620-1014
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Country | US
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Telephone | 410-778-6800
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Fax | 410-221-2534
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Provider Business Mailing Address
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Address Line | 300 SCHEELER RD
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City | CHESTERTOWN
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State | MD
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Zip | 21620-1014
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Country | US
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Telephone | 410-778-6800
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Fax | 410-221-2534
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MS. MARY KAY NOREN
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Credential | LCSW-C
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Telephone | 410-221-2527
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 14-001
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License Number State | MD
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