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General NPI Number Information
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NPI Number | 1366651598
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Entity Type | Organization
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Legal Business Name | DARMON MEDICAL SERVICES
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 11/08/2007
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Provider Practice Location Address
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Address Line | 1400 MERCANTILE LN STE 180
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City | LARGO
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State | MD
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Zip | 20774-5369
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Country | US
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Telephone | 301-925-7022
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Fax | 301-925-7022
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Provider Business Mailing Address
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Address Line | 1400 MERCANTILE LANE #180
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City | LARGO
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State | MD
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Zip | 20774
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Country | US
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Telephone | 301-925-7022
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Fax | 301-925-7022
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Authorized Official
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Title or Position | NP
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Name | MONISOLA AUGUSTA ADEYEMO
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Credential | NP
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Telephone | 301-925-7022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1000X
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Taxonomy Name | Student Health Clinic/Center
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License Number | 105387
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License Number State | MD
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