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General NPI Number Information
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NPI Number | 1184098634
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Entity Type | Organization
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Legal Business Name | MMLC URGENT CARE WOUND CARE SERVICES LLC
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Dates
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Enumeration Date | 11/20/2015
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Last Update Date | 06/08/2017
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Provider Practice Location Address
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Address Line | 1300 SPRING ST SUITE 122
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City | SILVER SPRING
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State | MD
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Zip | 20910-3616
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Country | US
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Telephone | 304-585-1833
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Fax | 301-448-1202
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Provider Business Mailing Address
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Address Line | 1300 SPRING ST SUITE 122
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City | SILVER SPRING
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State | MD
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Zip | 20910-3616
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Country | US
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Telephone | 301-585-1833
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Fax | 301-448-1202
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. MARK AMMAAN MAJOR
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Credential | MD
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Telephone | 301-585-1833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D0064592
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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