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NPI Code Detail

MEDICARE: HCPSS INFANT AND TODDLER PROGRAM

MEDICARE: HCPSS INFANT AND TODDLER PROGRAM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251300000XLocal Education Agency (LEA)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124202940
Entity Type Code : Organization
Provider Name (Legal Business Name) : HCPSS INFANT AND TODDLER PROGRAM
Provider Business Mailing Address
First Line : 8930 STANFORD BLVD STE 201
Second Line :
City : COLUMBIA
State : MD
Zip : 21045-5805
Country : US
Telephone Number : 410-313-6708
Fax Number :
Provider Business Practice Location Address
First Line : 8930 STANFORD BLVD
Second Line :
City : COLUMBIA
State : MD
Zip : 21045-5805
Country : US
Telephone Number : 410-313-6708
Fax Number :
Authorized Official
Title or Position : MEDICAID BILLING ANALYST
Name : CAROLYN JEAN DODGE
Credential :
Telephone Number : 410-313-6708
Provider Enumeration Date : 12/28/2007
Last Update Date : 09/29/2022

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Directions to “HCPSS INFANT AND TODDLER PROGRAM ” Practice Location

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