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General NPI Number Information
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NPI Number | 1306160015
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Entity Type | Organization
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Legal Business Name | BWELL HEALTHCARE INC.
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Dates
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Enumeration Date | 03/24/2010
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Last Update Date | 03/24/2010
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Provider Practice Location Address
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Address Line | 270 BROCK BRIDGE RD
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City | LAUREL
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State | MD
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Zip | 20724-2216
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Country | US
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Telephone | 301-710-5340
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Fax | 301-358-2832
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Provider Business Mailing Address
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Address Line | 270 BROCK BRIDGE RD
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City | LAUREL
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State | MD
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Zip | 20724-2216
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Country | US
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Telephone | 301-710-5340
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Fax | 301-358-2832
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | FEMMY KUTI
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Credential |
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Telephone | 301-710-5340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | R2862
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License Number State | MD
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