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General NPI Number Information
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NPI Number | 1134078231
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Entity Type | Organization
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Legal Business Name | ADVITA HEALTH LLC
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Dates
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Enumeration Date | 01/23/2026
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 2131 DAVIDSONVILLE RD
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City | CROFTON
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State | MD
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Zip | 21114-1632
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Country | US
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Telephone | 410-721-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 979 COACHWAY
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City | ANNAPOLIS
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State | MD
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Zip | 21401-6413
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Country | US
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Telephone | 443-618-3459
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | KAREN PIPKIN
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Credential |
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Telephone | 443-618-3459
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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