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General NPI Number Information
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NPI Number | 1285424093
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Entity Type | Organization
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Legal Business Name | INTEGRAHEALTH LLC
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 1123 BELCAMP GARTH
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City | BELCAMP
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State | MD
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Zip | 21017-1452
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Country | US
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Telephone | 410-575-6400
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Fax |
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Provider Business Mailing Address
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Address Line | 9722 GROFFS MILL DR # 916
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City | OWINGS MILLS
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State | MD
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Zip | 21117-6341
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Country | US
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Telephone | 410-870-9380
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | KAMAL SALAH H SEWARALTHAHAB
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Credential |
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Telephone | 410-646-2100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine 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 | 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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