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General NPI Number Information
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NPI Number | 1184216251
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Entity Type | Organization
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Legal Business Name | FIRST-CARE WELLNESS & MEDICAL SERVICES
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Dates
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Enumeration Date | 02/09/2021
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Last Update Date | 02/09/2021
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Provider Practice Location Address
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Address Line | 7836 OAKWOOD RD STE A
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City | GLEN BURNIE
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State | MD
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Zip | 21061-4298
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Country | US
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Telephone | 301-803-9617
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Fax |
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Provider Business Mailing Address
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Address Line | 3739 CASTLE TER
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City | SILVER SPRING
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State | MD
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Zip | 20904-4703
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Country | US
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Telephone | 301-803-9617
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | DR. KORLU WOLOBAH-KUYON
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Credential | DNP, PMHNP-BC
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Telephone | 301-803-9617
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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