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General NPI Number Information
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NPI Number | 1649407560
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Entity Type | Organization
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Legal Business Name | HELIXCARE MEDICAL GROUP, LLC
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Dates
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Enumeration Date | 06/18/2009
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Last Update Date | 06/18/2009
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Provider Practice Location Address
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Address Line | 9512 HARFORD RD SUITE 201
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City | BALTIMORE
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State | MD
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Zip | 21234-3100
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Country | US
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Telephone | 410-882-0600
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Fax | 410-668-2911
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Provider Business Mailing Address
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Address Line | 9512 HARFORD RD SUITE 201
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City | BALTIMORE
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State | MD
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Zip | 21234-3100
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Country | US
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Telephone | 410-882-0600
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Fax | 410-668-2911
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Authorized Official
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Title or Position | CREDENTIALING ASSOCIATE
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Name | JAMIE L. STEELE-WHITE
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Credential |
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Telephone | 410-933-3073
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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