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NPI 1043139306

NPI 1043139306 : IP HEALTHCARE PROFESSIONAL CORPORATION : JESSUP, MD

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General NPI Number Information
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    NPI Number           |    1043139306
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    Entity Type          |    Organization 
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    Legal Business Name  |    IP HEALTHCARE PROFESSIONAL CORPORATION 
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Dates
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    Enumeration Date     |    07/13/2026
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    Last Update Date     |    07/13/2026
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Provider Practice Location Address
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    Address Line         |    10210 GUILFORD RD 
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    City                 |    JESSUP
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    State                |    MD
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    Zip                  |    20794-9528
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    Country              |    US
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    Telephone            |    240-636-9891
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    Fax                  |    920-214-0986
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Provider Business Mailing Address
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    Address Line         |    10210 GUILFORD RD 
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    City                 |    JESSUP
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    State                |    MD
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    Zip                  |    20794-9528
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    Country              |    US
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    Telephone            |    240-636-9891
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    Fax                  |    920-214-0986
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Authorized Official
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    Title or Position    |    PHYSICIAN
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    Name                 |     HOI LENG  IP 
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    Credential           |    MD
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    Telephone            |    443-432-9445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207QG0300X
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    Taxonomy Name        |    Geriatric Medicine (Family Medicine) Physician
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    License Number       |    
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    License Number State |    
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