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General NPI Number Information
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NPI Number | 1164074142
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Entity Type | Organization
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Legal Business Name | VERMEL HEALTHCARE ENTERPRISE LLC
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Dates
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Enumeration Date | 07/10/2019
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Last Update Date | 07/10/2019
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Provider Practice Location Address
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Address Line | 16701 MELFORD BLVD STE 400
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City | BOWIE
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State | MD
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Zip | 20715-4411
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Country | US
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Telephone | 877-560-3792
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Fax | 877-560-3792
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Provider Business Mailing Address
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Address Line | 16701 MELFORD BLVD STE 400
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City | BOWIE
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State | MD
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Zip | 20715-4411
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Country | US
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Telephone | 877-560-3792
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Fax | 877-560-3792
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Authorized Official
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Title or Position | CO-OWNER/FAMILY NURSE PRACTITIONER
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Name | MELINDA TOUSSAINT
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Credential | FNP-BC
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Telephone | 877-560-3792
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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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