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General NPI Number Information
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NPI Number | 1689481681
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Entity Type | Organization
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Legal Business Name | EASTERN SHORE AREA HEALTH EDUCATION CENTER
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Dates
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Enumeration Date | 12/12/2024
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 814 CHESAPEAKE DR
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City | CAMBRIDGE
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State | MD
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Zip | 21613-9408
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Country | US
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Telephone | 410-221-2600
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Fax | 410-221-2605
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Provider Business Mailing Address
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Address Line | 814 CHESAPEAKE DR
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City | CAMBRIDGE
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State | MD
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Zip | 21613-9408
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Country | US
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Telephone | 410-221-2600
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Fax | 410-221-2605
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Authorized Official
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Title or Position | PUBLIC HEALTH PROGRAM MANAGER
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Name | SHAKIRA ABDULAI
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Credential | MPH
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Telephone | 410-221-2600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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