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General NPI Number Information
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NPI Number | 1215398235
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Entity Type | Organization
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Legal Business Name | HOWARD COUNTY DIRECT PRIMARY CARE
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Dates
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Enumeration Date | 03/18/2016
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Last Update Date | 03/18/2016
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Provider Practice Location Address
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Address Line | 8895 CENTRE PARK DR SUITE E
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City | COLUMBIA
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State | MD
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Zip | 21045-1966
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Country | US
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Telephone | 443-864-5503
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Fax | 443-864-5507
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Provider Business Mailing Address
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Address Line | 8895 CENTRE PARK DR SUITE E
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City | COLUMBIA
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State | MD
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Zip | 21045-1966
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Country | US
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Telephone | 443-864-5503
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Fax | 443-864-5507
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Authorized Official
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Title or Position | OFFICE MANAGER/PROVIDER
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Name | DR. ORSOLYA POLGAR
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Credential | M.D.,PH.D.
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Telephone | 443-864-5503
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | D0072571
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License Number State | MD
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