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General NPI Number Information
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NPI Number | 1851991335
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Entity Type | Organization
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Legal Business Name | FAMILY HEALTH CENTERS OF BALTIMORE, INC.
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Dates
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Enumeration Date | 10/26/2020
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Last Update Date | 07/31/2023
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Provider Practice Location Address
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Address Line | 3540 S HANOVER ST
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City | BALTIMORE
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State | MD
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Zip | 21225-1772
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Country | US
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Telephone | 410-354-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 631 CHERRY HILL RD
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City | BALTIMORE
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State | MD
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Zip | 21225-1228
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF OF OPERATIONS
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Name | WINNIE MCCRAY
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Credential |
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Telephone | 410-354-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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