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General NPI Number Information
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NPI Number | 1386378388
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Entity Type | Organization
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Legal Business Name | CARLDEN HEALTH FAMILY CLINIC LLC
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Dates
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Enumeration Date | 07/14/2022
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Last Update Date | 06/13/2023
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Provider Practice Location Address
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Address Line | 198 THOMAS JOHNSON DR STE 103
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City | FREDERICK
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State | MD
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Zip | 21702-4432
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Country | US
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Telephone | 301-447-0710
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Fax | 301-447-0771
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Provider Business Mailing Address
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Address Line | 198 THOMAS JOHNSON DR STE 103
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City | FREDERICK
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State | MD
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Zip | 21702-4432
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Country | US
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Telephone | 301-447-0710
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Fax | 301-447-0771
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Authorized Official
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Title or Position | CERTIFIED REGISTERED NURSE PRACTITI
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Name | MRS. DORCAS ACHEAMPONG
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Credential | CRNP
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Telephone | 301-447-0710
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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