Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Clinical Medical Laboratory |
291U00000X | 69 | Clinical Laboratory |
| NPI Number | 1013463561 |
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| LBN Legal business name | ALLEGANY COLLEGE OF MARYLAND | ||||||||||||
| Authorized official | ANNA KEPHART - (OFFICE MANAGER) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 08/25/2016 | ||||||||||||
| Last updated | 04/28/2017 - About 9 years ago | ||||||||||||
| Identifiers |
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