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General NPI Number Information
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NPI Number | 1144146069
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Entity Type | Organization
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Legal Business Name | AMPAT RESOURCES
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Dates
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Enumeration Date | 06/25/2026
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Last Update Date | 06/25/2026
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Provider Practice Location Address
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Address Line | 115 DELAWARE AVE
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City | GLEN BURNIE
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State | MD
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Zip | 21061-3013
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Country | US
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Telephone | 240-605-2479
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Fax | 301-272-1056
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Provider Business Mailing Address
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Address Line | 115 DELAWARE AVE
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City | GLEN BURNIE
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State | MD
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Zip | 21061-3013
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Country | US
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Telephone | 240-605-2479
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Fax | 301-272-1056
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Authorized Official
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Title or Position | OWNER
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Name | VIVIAN UMEUGO
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Credential | PHMNP
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Telephone | 240-605-2479
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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