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General NPI Number Information
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NPI Number | 1376340232
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Entity Type | Organization
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Legal Business Name | CORAL HEALTH LLC
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Dates
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Enumeration Date | 02/27/2025
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 1301 YORK RD
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City | TIMONIUM
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State | MD
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Zip | 21093-6035
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Country | US
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Telephone | 410-499-3884
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Fax | 231-375-5418
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Provider Business Mailing Address
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Address Line | 1301 YORK RD
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City | TIMONIUM
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State | MD
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Zip | 21093-6035
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Country | US
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Telephone | 410-499-3884
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Fax | 231-375-5418
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Authorized Official
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Title or Position | OWNER
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Name | SABRINA WELLS
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Credential | CRNP
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Telephone | 410-499-3884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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