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General NPI Number Information
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NPI Number | 1831321330
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Entity Type | Organization
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Legal Business Name | WICOMICO COUNTY HEALTH DEPARTMENT
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Dates
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Enumeration Date | 08/17/2009
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Last Update Date | 08/17/2009
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Provider Practice Location Address
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Address Line | 635 E MAIN ST
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City | SALISBURY
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State | MD
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Zip | 21804-5021
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Country | US
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Telephone | 410-219-2842
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Fax | 410-341-7968
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Provider Business Mailing Address
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Address Line | 108 E MAIN ST
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City | SALISBURY
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State | MD
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Zip | 21801-4921
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Country | US
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Telephone | 410-860-4593
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Fax | 410-543-6975
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Authorized Official
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Title or Position | HEALTH OFFICER
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Name | MRS. LORI BREWSTER
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Credential | M.S, APRN/BC, LCADC
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Telephone | 410-860-4592
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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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