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General NPI Number Information
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NPI Number | 1164855607
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Entity Type | Organization
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Legal Business Name | PERFECT FIT BY MARIA, LLC
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Dates
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Enumeration Date | 08/20/2013
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Last Update Date | 06/26/2024
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Provider Practice Location Address
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Address Line | 305 HOSPITAL DR 2ND FLOOR/ TATE CENTER
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City | GLEN BURNIE
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State | MD
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Zip | 21061-5805
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Country | US
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Telephone | 410-553-0275
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Fax | 410-553-0276
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Provider Business Mailing Address
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Address Line | 305 HOSPITAL DR 2ND FLOOR/ TATE CENTER
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City | GLEN BURNIE
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State | MD
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Zip | 21061-5805
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Country | US
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Telephone | 410-553-0275
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Fax | 410-553-0276
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Authorized Official
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Title or Position | OWNER
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Name | MARIA C CHEEYOU
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Credential |
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Telephone | 410-553-0275
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | C46760
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License Number State | MD
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