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General NPI Number Information
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NPI Number | 1073103438
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Entity Type | Organization
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Legal Business Name | BCI AM HEALTH LLC
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Dates
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Enumeration Date | 01/20/2021
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Last Update Date | 07/26/2021
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Provider Practice Location Address
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Address Line | 1121 SAINT AGNES LN
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City | GWYNN OAK
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State | MD
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Zip | 21207-5179
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Country | US
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Telephone | 410-241-7766
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Fax | 410-484-3909
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Provider Business Mailing Address
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Address Line | 3700 ODONNELL ST STE 200
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City | BALTIMORE
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State | MD
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Zip | 21224-5269
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Country | US
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Telephone | 410-241-7766
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Fax | 410-484-3909
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Authorized Official
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Title or Position | CO-OWNER
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Name | MR. ADAM RABINOWITZ
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Credential | CRNP
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Telephone | 410-241-7766
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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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