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General NPI Number Information
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NPI Number | 1003236001
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Entity Type | Organization
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Legal Business Name | HEALTHY CHOICE FAMILY CLINIC AND URGENT CARE, LLC
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Dates
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Enumeration Date | 04/17/2014
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Last Update Date | 11/12/2014
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Provider Practice Location Address
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Address Line | 8700 CENTRAL AVE SUITE # 302A
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City | LANDOVER
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State | MD
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Zip | 20785-4831
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Country | US
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Telephone | 301-613-9295
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Fax | 888-202-7717
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Provider Business Mailing Address
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Address Line | 8700 CENTRAL AVE SUITE 302 A
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City | LANDOVER
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State | MD
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Zip | 20785-4831
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Country | US
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Telephone | 301-613-9295
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Fax | 888-202-7717
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Authorized Official
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Title or Position | PRESIDENT /OWNER
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Name | DR. VICTORIA TITUS
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Credential | TITUS
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Telephone | 301-613-9295
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | R184425
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License Number State | MD
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