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General NPI Number Information
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NPI Number | 1003316407
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Entity Type | Organization
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Legal Business Name | P&A HEALTH SERVICES LIMITED LIABILITY COMPANY
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Dates
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Enumeration Date | 02/13/2018
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 404 S CAMP MEADE RD
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City | LINTHICUM
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State | MD
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Zip | 21090-2744
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Country | US
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Telephone | 410-841-8149
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Fax |
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Provider Business Mailing Address
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Address Line | 404 S CAMP MEADE RD
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City | LINTHICUM
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State | MD
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Zip | 21090-2744
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Country | US
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Telephone | 410-841-8149
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/PRESIDENT
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Name | DR. PATRICIA C ONUOHA EJIOGU
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Credential | DO,ND,PRM,PHDS-LEHP
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Telephone | 410-841-8149
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 03595628
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License Number State | PA
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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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Taxonomy #4
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QR1100X
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Taxonomy Name | Research Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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