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General NPI Number Information
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NPI Number | 1598312316
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Entity Type | Organization
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Legal Business Name | BALTIMORE CITY PUBLIC SCHOOLS
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Dates
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Enumeration Date | 08/26/2019
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Last Update Date | 08/26/2019
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Provider Practice Location Address
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Address Line | 200 E NORTH AVE
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City | BALTIMORE
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State | MD
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Zip | 21202-5984
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Country | US
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Telephone | 443-538-6033
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Fax |
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Provider Business Mailing Address
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Address Line | 1190 HARBOR TREE DR
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City | CROWNSVILLE
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State | MD
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Zip | 21032-1529
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Country | US
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Telephone | 443-538-6033
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Fax |
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | LUCINDY BRATTEN
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Credential | AU.D
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Telephone | 443-538-6033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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