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NPI 1376435552

NPI 1376435552 : CONNEXTION HEALTH AND SCREENING SERVICES : TEMPLE HILLS, MD

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General NPI Number Information
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    NPI Number           |    1376435552
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    Entity Type          |    Organization 
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    Legal Business Name  |    CONNEXTION HEALTH AND SCREENING SERVICES 
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Dates
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    Enumeration Date     |    07/21/2025
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    Last Update Date     |    07/21/2025
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Provider Practice Location Address
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    Address Line         |    5315 TEMPLE HILL RD 
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    City                 |    TEMPLE HILLS
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    State                |    MD
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    Zip                  |    20748-3525
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    Country              |    US
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    Telephone            |    614-218-4472
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    Fax                  |    614-218-4472
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Provider Business Mailing Address
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    Address Line         |    5315 TEMPLE HILL RD 
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    City                 |    TEMPLE HILLS
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    State                |    MD
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    Zip                  |    20748-3525
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    Country              |    US
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    Telephone            |    614-218-4472
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    Fax                  |    614-218-4472
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Authorized Official
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    Title or Position    |    PROGRAM COORDINATOR
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    Name                 |     KEIANA  DAVIS 
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    Credential           |    
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    Telephone            |    614-218-4472
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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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        |    261QC1500X
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    Taxonomy Name        |    Community Health Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    261QH0100X
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    Taxonomy Name        |    Health Service Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    251K00000X
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    Taxonomy Name        |    Public Health or Welfare Agency
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    License Number       |    
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    License Number State |    
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