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General NPI Number Information
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NPI Number | 1811241045
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Entity Type | Organization
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Legal Business Name | INSTITUTIONAL HEALTH MANAGEMENT SOLUTIONS
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Dates
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Enumeration Date | 11/09/2012
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Last Update Date | 11/09/2012
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Provider Practice Location Address
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Address Line | 4419 FALLS RD SUITE D
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City | BALTIMORE
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State | MD
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Zip | 21211-1226
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Country | US
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Telephone | 410-878-2985
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Fax | 410-982-6439
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Provider Business Mailing Address
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Address Line | 2901 SAINT PAUL ST GROUD FLOOR
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City | BALTIMORE
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State | MD
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Zip | 21218-4124
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Country | US
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Telephone | 410-878-2985
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JESSE LEBLANC
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Credential |
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Telephone | 410-878-2985
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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 | D0025411
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License Number State | MD
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