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NPI 1942579073

NPI 1942579073 : HARFORD COUNTY HEALTH DEPARTMENT : EDGEWOOD, MD

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General NPI Number Information
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    NPI Number           |    1942579073
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    Entity Type          |    Organization 
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    Legal Business Name  |    HARFORD COUNTY HEALTH DEPARTMENT 
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Dates
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    Enumeration Date     |    12/19/2011
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    Last Update Date     |    03/05/2024
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Provider Practice Location Address
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    Address Line         |    1321 WOODBRIDGE STATION WAY 
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    City                 |    EDGEWOOD
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    State                |    MD
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    Zip                  |    21040-3830
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    Country              |    US
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    Telephone            |    410-612-1779
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    Fax                  |    410-612-9183
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Provider Business Mailing Address
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    Address Line         |    120 S HAYS ST 
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    City                 |    BEL AIR
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    State                |    MD
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    Zip                  |    21014-3615
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    Country              |    US
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    Telephone            |    410-877-1033
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DEPUTY HEALTH OFFICER
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    Name                 |     MARCY R AUSTIN 
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    Credential           |    
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    Telephone            |    410-877-1033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology 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        |    208D00000X
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    Taxonomy Name        |    General Practice Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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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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