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General NPI Number Information
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NPI Number | 1073474813
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Entity Type | Organization
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Legal Business Name | DISTRICT URGENT CARE PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 11/20/2025
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Last Update Date | 12/06/2025
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Provider Practice Location Address
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Address Line | 3108 LORD BALTIMORE DR STE 108
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City | WINDSOR MILL
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State | MD
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Zip | 21244-5807
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Country | US
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Telephone | 301-395-7490
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Fax |
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Provider Business Mailing Address
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Address Line | 12617 HENDERSON CHAPEL LN
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City | BOWIE
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State | MD
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Zip | 20720-3371
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Country | US
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Telephone | 301-395-7490
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Fax |
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Authorized Official
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Title or Position | MANAGING EMPLOYEE
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Name | SENAI MEDHANI
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Credential |
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Telephone | 301-395-7490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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