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General NPI Number Information
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NPI Number | 1255868519
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Entity Type | Organization
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Legal Business Name | WISECARE, LLC
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Dates
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Enumeration Date | 05/17/2017
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Last Update Date | 05/17/2017
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Provider Practice Location Address
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Address Line | 485 RITCHIE HWY STE 102
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City | SEVERNA PARK
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State | MD
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Zip | 21146-2918
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Country | US
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Telephone | 410-255-7900
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Fax | 410-255-7300
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Provider Business Mailing Address
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Address Line | 33 MAGOTHY BEACH RD STE 102
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City | PASADENA
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State | MD
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Zip | 21122-4465
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Country | US
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Telephone | 410-255-7900
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Fax | 410-255-7300
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | BETH ECKMAN
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Credential | CBCS, CEHRS
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Telephone | 410-255-7900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | D0067662
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License Number State | MD
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