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General NPI Number Information
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NPI Number | 1174625057
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Entity Type | Organization
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Legal Business Name | BETHEL MEDICAL CLINIC CHARTERED
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Dates
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Enumeration Date | 09/02/2006
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Last Update Date | 08/08/2011
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Provider Practice Location Address
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Address Line | 7325 HANOVER PKWY SUITE A
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City | GREENBELT
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State | MD
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Zip | 20770-3618
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Country | US
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Telephone | 301-345-3966
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Fax | 301-982-2937
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Provider Business Mailing Address
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Address Line | 7325 HANOVER PKWY SUITE A
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City | GREENBELT
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State | MD
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Zip | 20770-3618
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Country | US
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Telephone | 301-345-3966
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Fax | 301-982-2937
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | BABAJIDE AYODEJI OBADINA
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Credential | M.D.,
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Telephone | 301-345-3966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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