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General NPI Number Information
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NPI Number | 1093502817
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Entity Type | Organization
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Legal Business Name | MAIN HEALTHCARE LLC
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Dates
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Enumeration Date | 04/23/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 2702 GEARTNER RD
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City | BALTIMORE
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State | MD
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Zip | 21209-1410
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Country | US
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Telephone | 443-318-8713
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Fax | 443-870-4919
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Provider Business Mailing Address
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Address Line | 2702 GEARTNER RD
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City | BALTIMORE
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State | MD
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Zip | 21209-1410
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Country | US
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Telephone | 443-318-8713
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Fax | 443-870-4919
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Authorized Official
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Title or Position | OWNER AND PROVIDER
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Name | MRS. HANNAH MAINSTAIN
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Credential | FNP-BC
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Telephone | 443-318-8713
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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