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General NPI Number Information
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NPI Number | 1144196288
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Entity Type | Organization
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Legal Business Name | FRESH FRESH HEALTHCARE CORPERATION
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Dates
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Enumeration Date | 10/15/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 7604 VICAR PL
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City | NEW CARROLLTON
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State | MD
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Zip | 20784-2966
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Country | US
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Telephone | 202-696-7183
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Fax | 202-696-7183
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Provider Business Mailing Address
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Address Line | 7604 VICAR PL
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City | NEW CARROLLTON
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State | MD
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Zip | 20784-2966
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Country | US
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Telephone | 202-696-7183
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Fax | 202-696-7183
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Authorized Official
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Title or Position | CEO
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Name | DR ANDREA K RODNEY
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Credential | PHD
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Telephone | 202-696-7183
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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