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General NPI Number Information
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NPI Number | 1003565524
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Entity Type | Organization
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Legal Business Name | OMNIBUS HEALTH, LLC.
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Dates
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Enumeration Date | 03/22/2022
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Last Update Date | 03/22/2022
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Provider Practice Location Address
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Address Line | 2805 N POINT RD
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City | DUNDALK
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State | MD
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Zip | 21222-2413
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Country | US
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Telephone | 443-996-4919
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Fax |
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Provider Business Mailing Address
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Address Line | 4132 E JOPPA RD STE 110-1215
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City | BALTIMORE
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State | MD
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Zip | 21236-2272
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MICHELLE CURREY
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Credential | CRNP
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Telephone | 443-966-4919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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