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General NPI Number Information
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NPI Number | 1346848710
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Entity Type | Organization
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Legal Business Name | UBERPHYSICIANS LLC
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Dates
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Enumeration Date | 10/16/2020
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Last Update Date | 10/16/2020
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Provider Practice Location Address
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Address Line | 724 MAIDEN CHOICE LN STE 304
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City | CATONSVILLE
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State | MD
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Zip | 21228-5967
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Country | US
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Telephone | 410-216-0206
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Fax | 443-440-5516
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Provider Business Mailing Address
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Address Line | 2614 28TH ST NE
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City | WASHINGTON
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State | DC
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Zip | 20018-1415
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ATEMKENG CURTIS FOMENGIA
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Credential | PA-C
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Telephone | 301-254-3987
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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